Individual provider Active NPI

Bruce Vincent Ramsdell, M.D.

  • Family Medicine Physician
  • College Park, GA
National Provider Identifier
1326106949
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018722 Issued in GA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000158826DMedicaidGA

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
I20100722000842 GA Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 4880726009 Practice locations: College Park, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018722GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.