Individual provider Active NPI

Ari S Levine, M.D.

  • Family Medicine Physician
  • Winder, GA
National Provider Identifier
1235526211
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92583 Issued in GA
Practice address
314 N Broad St Ste 250
Winder, GA 30680-2163
Phone
(770) 867-4146
Fax
(770) 867-3742
NPI assigned
Apr 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.133527 OH
Family Medicine Physician 207Q00000X 92583 GA Primary

Addresses

Primary practice location

314 N Broad St Ste 250
Winder, GA 30680-2163

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1090 Arnold Dr
Little Rock AFB, AR 72099-3800
Phone (501) 987-2932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alevine142944@nghs.gadirect.net Direct

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
I20220801001402 GA Practitioner - Family Practice 4284934563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Physicians Group Inc 884 clinicians

Practice addresses (Care Compare)

314 N Broad St
Suite 250
Winder, GA 30680-2163
Phone (770) 867-4146

Hospital & facility affiliations

  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.133527OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Aug 29, 2022 Accepting new patients

Locations

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

314 N Broad St
Ste 250
Winder, GA 30680
Phone (770) 867-4146

Interoperability endpoints

  • Direct secure messaging: alevine142944@nghs.gadirect.net

Organizations & group practices 2

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 12

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1235526211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST STE 250",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802163",
            "telephone_number": "770-867-4146",
            "fax_number": "770-867-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Arnold Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock AFB",
            "state": "AR",
            "postal_code": "720993800",
            "country_code": "US",
            "telephone_number": "501-987-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ARI",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.133527",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "92583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alevine142944@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "314 N Broad St Ste 250",
            "city": "Winder",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306802163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.