Roza K Adamczyk MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

029568 Issued in GA

Legal business name

ROZA K ADAMCZYK MD PC

Practice address

106 Governors SQ
Suite B
Fayetteville, GA 30215-4805

Phone

(770) 486-8065

Fax

(770) 227-3082

NPI assigned

Dec 4, 2007

Organization subpart

Yes

Parent organization

ROZA K ADAMCZYK MD PCAs reported in NPPES

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

Authorized official

Name

Luba K Aronson, M.D.

Title

Office Manager

Phone

(770) 227-1102

Specialties & licenses 1

Addresses

Other identifiers 12

Part of

Roza K Adamczyk MDPC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Roza K.Adamczyk,MD,PC

  • Neurology Physician
  • Griffin, GA
  • NPI 1932252301
  NPPES parent name

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1225210925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 8TH ST STE D",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244251",
            "telephone_number": "770-227-1102",
            "fax_number": "770-227-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GOVERNORS SQ",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154805",
            "telephone_number": "770-486-8065",
            "fax_number": "770-227-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZA K ADAMCZYK MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROZA K ADAMCZYK MD PC",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "ARONSON",
        "authorized_official_first_name": "LUBA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-227-1102",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "029568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21003404108",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE - MEDICAID",
            "identifier": "328469",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347234G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA- PPO",
            "identifier": "4567388",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILE",
            "identifier": "52239078001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52239078002",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347234B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1020061",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "2339303",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "11363",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP - MEDICAID",
            "identifier": "10058864",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHSTATE - MCAID",
            "identifier": "117715",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Denise Ross, CRNP
• Jose Rossello, MD
• Lacrecia Rosser, OTR/L
• Decheyla Rouse
• Spencer O. Rowland, PA
• RSPS Fayetteville ASC LLC
• Wanda Thornton Rucker, MS
• Michelle Barnett Rudd, AA-C
• Constance Russell
• Tangella E Russell, CNP

• Neurology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.