Active NPI
Barbara Jean Mroz, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Austell, GA
National Provider Identifier
1356492094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 058803
- Practice address
- 3950 Austell Rd
Austell, GA 30106 - Phone
- (770) 793-7899
- Fax
- (470) 732-5118
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 058803 | GA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 058803 | GA | Primary |
Addresses
Primary practice location
3950 Austell Rd
Austell, GA 30106
Mailing address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Other practice location 1
20 Glenlake Pkwy NE
Dept of Pulmonology
Atlanta, GA 30328-3473
Phone (770) 677-6217
Other practice location 2
20 Glenlake Pkwy NE
Dept of Pulmonology
Atlanta, GA 30328-3473
Phone (770) 677-6217
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bmroz143506@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Tulane University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058803 | GA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1356492094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS ROAD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "770-793-7899",
"fax_number": "470-732-5118"
}
],
"practiceLocations": [
{
"address_1": "20 Glenlake Pkwy NE",
"address_2": "Dept of Pulmonology",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303283473",
"country_code": "US",
"telephone_number": "770-677-6217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Glenlake Pkwy NE",
"address_2": "Dept of Pulmonology",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303283473",
"country_code": "US",
"telephone_number": "770-677-6217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MROZ",
"first_name": "BARBARA",
"middle_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "058803",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "GA",
"license": "058803",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bmroz143506@directwellstar.org",
"affiliation": "N",
"address_1": "3950 Austell Rd",
"city": "Austell",
"state": "GA",
"country_code": "US",
"postal_code": "301061121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.