Active NPI
Andrew Berwick Dott, MD
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1376563718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0033314
- Practice address
- 993 Johnson Ferry Rd NE # D
Ste 360
Atlanta, GA 30342-1620 - Phone
- (404) 250-1350
- Fax
- (404) 250-1359
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0033314 | GA | Primary |
Addresses
Primary practice location
993 Johnson Ferry Rd NE # D
Ste 360
Atlanta, GA 30342-1620
Mailing address
993 Johnson Ferry Rd NE # D
Ste 360
Atlanta, GA 30342-1620
Phone (404) 250-1350
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597401 | Other | GA | CIGNA |
| P4060754 | Other | AETNA | |
| 303425 | Other | GA | WELLCARE MEDICAID |
| 0700440 | Other | GA | EVERCARE |
| 2287623 | Other | AETNA | |
| 803545 | Other | GA | BLUE CROSS |
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
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033314 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376563718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 JOHNSON FERRY RD NE # D",
"address_2": "STE 360",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421620",
"telephone_number": "404-250-1350",
"fax_number": "404-250-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 JOHNSON FERRY RD NE # D",
"address_2": "STE 360",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421620",
"telephone_number": "404-250-1350",
"fax_number": "404-250-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTT",
"first_name": "ANDREW",
"middle_name": "BERWICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "0033314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "597401",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "P4060754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICAID",
"identifier": "303425",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0700440",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2287623",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "803545",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.