Bereaval Shamarol Webb, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GA053964 Issued in GA

Practice address

303 Perimeter Ctr N Ste 300
Atlanta, GA 30346-3401

Phone

(404) 388-2757

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B Webb, Inc

  • Specialist
  • Marietta, GA
  • NPI 1104286707
  NPD (past) Authorized official
• Atlanta Family Healthcare, LLC

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1922295609
  NPD (past)
• Premium Medical Care,LLC

  • Legal Medicine
  • Atlanta, GA
  • NPI 1700974631
  NPD (past)
• Synergy Medical Centers of Atlanta

  • Specialist
  • Atlanta, GA
  • NPI 1487833612
  NPD (past)
• Synergy Pain and Rehabilitation

  • Specialist
  • Atlanta, GA
  • NPI 1376580167
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1326149139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 VENETTA PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303186029",
            "telephone_number": "404-388-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463401",
            "telephone_number": "404-388-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BEREAVAL",
        "middle_name": "SHAMAROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA053964",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "053964",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "GA",
            "license": "053964",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "053964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Weaver, PA-C
• Priscilla Weaver
• Victoria Quaid Weaver, MS RD LD
• Webb Plastic Surgery
• Adam Christopher Webb, M.D.
• Bernadette Webb, DC
• Brian Webb
• Carol Webb, PH. D.
• Celia Webb, MS, LAPC
• Chelsy Briahn Webb, MD

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.