Active NPI
Bruce Vincent Ramsdell, M.D.
- Family Medicine Physician
- College Park, GA
National Provider Identifier
1326106949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 018722
- Practice address
- 2225 Godby Rd
College Park, GA 30349-5012 - Phone
- (404) 767-8274
- Fax
- (404) 768-8035
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 018722 | GA | Primary |
Addresses
Primary practice location
2225 Godby Rd
College Park, GA 30349-5012
Mailing address
2225 Godby Rd
College Park, GA 30349-5012
Phone (404) 767-8274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000158826D | Medicaid | GA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100722000842 | GA | Practitioner - Family Practice | 4880726009 | Practice locations: College Park, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018722 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JW Medical Care, LLC | Family Medicine | Past | Accepting new patients |
| Ageless Men'S Health, LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- College Park, GA
- NPI 1730329806
-
- Clinical Medical Laboratory
- Memphis, TN
- NPI 1003098997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326106949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 GODBY RD",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495012",
"telephone_number": "404-767-8274",
"fax_number": "404-768-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 GODBY RD",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495012",
"telephone_number": "404-767-8274",
"fax_number": "404-768-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMSDELL",
"first_name": "BRUCE",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "018722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000158826D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.