Individual provider Active NPI

Kevin A Budman, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Atlanta, GA
National Provider Identifier
1265693204
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
067396 Issued in GA
Practice address
5445 Meridian Marks Rd
Atlanta, GA 30342-4763
Phone
(404) 255-2419
Fax
(404) 591-2939
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 067396 GA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 067396 GA Primary

Addresses

Primary practice location

5445 Meridian Marks Rd
Atlanta, GA 30342-4763

Mailing address

5445 Meridian Marks Rd NE
Atlanta, GA 30342-4763
Phone (404) 255-2419

Other identifiers 1

IdentifierTypeStateIssuer
202I188093OtherGAMEDICARE PTAN

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
I20120629000530 GA Practitioner - Ophthalmology 0840455598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eca Optical, LLC CurrentSince Apr 16, 2012 Accepting new patients
Eye Consultants of Atlanta, PC Ophthalmology CurrentSince Apr 16, 2012 Accepting new patients
Eye Consultants of Atlanta Piedmont Ophthalmology Past Accepting new patients
Pediatric Eye Consultants of Atlanta, LLC Ophthalmology Past Accepting new patients

Locations

3225 Cumberland Blvd SE
Ste 900
Atlanta, GA 30339
Phone (770) 394-4568

410 Peachtree Pkwy
Ste 300
Cumming, GA 30041
Phone (404) 785-3020

350 Brandywine Blvd
Ste 100
Fayetteville, GA 30214
Phone (678) 385-0377

1265 Highway 54 W
Ste 305
Fayetteville, GA 30214
Phone (770) 719-5660

340 Brandywine Blvd
Fayetteville, GA 30214
Phone (770) 460-4286

5445 Meridian Mark Rd
Ste 220
Sandy Springs, GA 30342
Phone (404) 255-2419

Interoperability endpoints

  • Direct secure messaging: kbudman60898@choa.gadirect.net

Organizations & group practices 4

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1265693204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARKS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424763",
            "telephone_number": "404-255-2419",
            "fax_number": "404-591-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARKS RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424763",
            "telephone_number": "404-255-2419",
            "fax_number": "404-591-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDMAN",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "067396",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "GA",
            "license": "067396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I188093",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.