Active NPI
Keith C Raziano, MD
- Physical Medicine & Rehabilitation Physician
- Sandy Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 050988
- Practice address
- 5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141 - Phone
- (404) 816-3000
- Fax
- (678) 904-5797
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 050988 | GA | Primary |
Addresses
Primary practice location
5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141
Mailing address
5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141
Phone (404) 816-3000
Other practice location 1
1035 Southcrest Dr Ste 115
Stockbridge, GA 30281-6104
Phone (678) 275-2200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710946322 | Other | GA | GROUP NPI NUMBER |
| 646007054A | Medicaid | GA | |
| 7627358 | Other | GA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Miami, LM Miller School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5730 Glenridge Dr
Suite 100
Atlanta, GA 30328-5579
5730 Glenridge Dr
Suite 115
Sandy Springs, GA 30328-6141
Phone 40481630002019
790 Church St NE
Suite 550
Marietta, GA 30060-8958
Phone (770) 419-9902
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Spine and Rehab Specialists of Ga | Current | Accepting new patients | |
| Physicians Spine and Rehab Specialists of Ga | Current | Accepting new patients | |
| Physicians Spine and Rehab Specialists of Ga | Past | Accepting new patients |
Locations
1060 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 314-1910
3855 Pleasant Hill Rd
Ste 380
Duluth, GA 30096
Phone (404) 816-3000
790 Church St NE
Ste 520
Marietta, GA 30060
Phone (404) 816-3000
790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902
5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000
7454 Hannover Pkwy S
Ste 245
Stockbridge, GA 30281
Phone (678) 884-5262
Interoperability endpoints
- keith.raziano@tphys.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sandy Springs, GA
- NPI 1710946322
-
- Durable Medical Equipment & Medical Supplies
- Calhoun, GA
- NPI 1972209864
-
- Durable Medical Equipment & Medical Supplies
- Marietta, GA
- NPI 1982300877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1194781070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 GLENRIDGE DR NE",
"address_2": "SUITE 100",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303286141",
"telephone_number": "404-816-3000",
"fax_number": "678-904-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 GLENRIDGE DR NE",
"address_2": "SUITE 100",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303286141",
"telephone_number": "404-816-3000",
"fax_number": "678-904-5797"
}
],
"practiceLocations": [
{
"address_1": "1035 Southcrest Dr Ste 115",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302816104",
"country_code": "US",
"telephone_number": "678-275-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZIANO",
"first_name": "KEITH",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "050988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1710946322",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "646007054A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7627358",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.