Individual provider Active NPI

Lydia Agnes Josephs, M.D.

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1194989970
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
73276 Issued in GA
Practice address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone
(678) 701-8651
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10035118 TX
Pediatric Anesthesiology Physician 207LP3000X 1.065322 CT
Anesthesiology Physician 207L00000X 73276 GA Primary

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Mailing address

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Other practice location 1

4441 Atlanta Rd SE
Smyrna, GA 30080-6406
Phone (770) 702-1806 ext. 210

Other practice location 2

333 Cedar Street TMP 3
New Haven, CT 06510
Phone (203) 785-2802

Other practice location 3

4441 Atlanta Rd SE
Smyrna, GA 30080-6406
Phone (770) 702-1806 ext. 210

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805007414 GA Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 2466686175 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10035118TXMDAnesthesiology Physician
1.065322CTMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Children'S Anesthesia Services, LLC Pediatric Anesthesiology CurrentSince Sep 12, 2024 Accepting new patients
Emory Medical Care Foundation Inc Anesthesiology Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 15, 2023 Accepting new patients
Choa Hospital Based, LLC Pediatric Anesthesiology CurrentSince Sep 12, 2024 Accepting new patients
Choa Multispecialty, LLC Current Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Jan 31, 2017 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 15, 2023 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100

2174 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 785-7856

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1194989970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "678-701-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Atlanta Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806406",
            "country_code": "US",
            "telephone_number": "770-702-1806 x210",
            "fax_number": "770-693-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Cedar Street TMP 3",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06510",
            "country_code": "US",
            "telephone_number": "203-785-2802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 Atlanta Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806406",
            "country_code": "US",
            "telephone_number": "770-702-1806 x210",
            "fax_number": "770-693-0810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPHS",
        "first_name": "LYDIA",
        "middle_name": "AGNES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10035118",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CT",
            "license": "1.065322",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "73276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.