Active NPI
Lloyd Richard Bardwell, MD
- Obstetrics & Gynecology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 027960
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | 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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1245539378
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.