Individual provider Active NPI

Donald F Langenbeck Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • College Park, GA
National Provider Identifier
1306838495
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
33620 Issued in GA
Practice address
1901 Phoenix Blvd
Ste 200
College Park, GA 30349-5588
Phone
(404) 355-0743
Fax
(770) 991-6477
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 33620 GA Primary

Addresses

Primary practice location

1901 Phoenix Blvd
Ste 200
College Park, GA 30349-5588

Mailing address

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309-1476
Phone (404) 355-0743

Other identifiers 2

IdentifierTypeStateIssuer
0486290001OtherDME
00631067DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1669 Phoenix Pkwy
Suite 102
College Park, GA 30349-5462
Phone (770) 907-1023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33620GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients
Peachtree Orthopaedic Surgery Center-North, LLC PastSince May 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: donald.langenbeck.1@8474.direct.athenahealth.com

Organizations & group practices 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1306838495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE",
            "address_2": "STE 705",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-355-0743",
            "fax_number": "904-355-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PHOENIX BLVD",
            "address_2": "STE 200",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495588",
            "telephone_number": "404-355-0743",
            "fax_number": "770-991-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENBECK",
        "first_name": "DONALD",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "33620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0486290001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00631067D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.