Active NPI
Stuart J Newman, M.D.
- Ophthalmology Physician
- Roswell, GA
National Provider Identifier
1255338653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 030357
- Practice address
- 11690 Alpharetta Hwy
Roswell, GA 30076-3805 - Phone
- (770) 475-5515
- Fax
- (770) 343-8884
- NPI assigned
- Jun 30, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 030357 | GA | Primary |
Addresses
Primary practice location
11690 Alpharetta Hwy
Roswell, GA 30076-3805
Mailing address
5901A Peachtree Dunwoody Rd NE
Ste 500
Atlanta, GA 30328-5382
Phone (678) 892-2020
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009489 | Other | GA | BCBS |
| 02543 | Other | GA | COVENTRY PPO |
| 10040687 | Other | GA | AMERIGROUP |
| 294750 | Other | GA | WELLCARE |
| 0479638 | Other | GA | AUSHC HMO |
| 0890732 | Other | GA | UHC |
| 180027680 | Other | GA | RR MEDICARE |
| 4105769 | Other | GA | AETNA |
| 00400584B | Medicaid | GA | |
| 9858 | Other | GA | COVENTRY HMO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sjnewman@teg.emadirect.md | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030357 | GA | MD | Ophthalmology Physician |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1255338653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901A PEACHTREE DUNWOODY RD NE",
"address_2": "STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285382",
"telephone_number": "678-892-2020",
"fax_number": "678-538-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11690 ALPHARETTA HWY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763805",
"telephone_number": "770-475-5515",
"fax_number": "770-343-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "STUART",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "030357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "009489",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY PPO",
"identifier": "02543",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10040687",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "294750",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC HMO",
"identifier": "0479638",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0890732",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180027680",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4105769",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00400584B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HMO",
"identifier": "9858",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sjnewman@teg.emadirect.md",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "11690 Alpharetta Hwy",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300763805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.