Active NPI
Kevin A Budman, MD
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 067396
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I188093 | Other | GA | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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 |
|---|---|---|---|
| Eca Optical, LLC | Current | Accepting new patients | |
| Eye Consultants of Atlanta, PC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1770679094
-
- Eyewear Supplier
- Marietta, GA
- NPI 1306061114
-
dba Piedmont Eye
- Ophthalmologic Surgery Clinic/Center
- Atlanta, GA
- NPI 1003993965
Ophthalmology
-
dba Pediatric Eye Consultants of Atlanta
- Ophthalmology Physician
- Atlanta, GA
- NPI 1437319134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.