Individual provider Active NPI

Lloyd Richard Bardwell, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
National Provider Identifier
1255321303
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
027960 Issued in GA
Practice address
699 Church St NE
Suite 500
Marietta, GA 30060-1110
Phone
(770) 793-9750
Fax
(770) 919-0581
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 027960 GA Primary

Addresses

Primary practice location

699 Church St NE
Suite 500
Marietta, GA 30060-1110

Mailing address

699 Church St NE
Suite 500
Marietta, GA 30060-1110
Phone (770) 793-9750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbardwell8499@directwellstar.org

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
I20080530000168 GA Practitioner - Obstetrics/Gynecology 7618055237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince May 1, 2011 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2011 Accepting new patients
Wellstar Medical Group, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

4550 Cobb Parkway North NW
Ste 301
Acworth, GA 30101
Phone (678) 574-3135

1120 Wellstar Way
Ste 304
Holly Springs, GA 30114
Phone (678) 445-5941

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

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

818 Church St NE
Marietta, GA 30060
Phone (770) 590-4190

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

699 Church St NE
Ste 500
Marietta, GA 30060
Phone (770) 424-7100

2230 Towne Lake Pkwy
Bldg 500
Woodstock, GA 30189
Phone (678) 445-5941

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1255321303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE",
            "address_2": "SUITE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601110",
            "telephone_number": "770-793-9750",
            "fax_number": "770-919-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE",
            "address_2": "SUITE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601110",
            "telephone_number": "770-793-9750",
            "fax_number": "770-919-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "LLOYD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "027960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbardwell8499@directwellstar.org",
            "affiliation": "N",
            "address_1": "699 Church St NE",
            "address_2": "Suite 500",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.