Individual provider Active NPI

Dayna Gutsin Teichman, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1376632174
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
044632 Issued in GA
Practice address
2797 Dover Rd NW
Atlanta, GA 30327-1207
Phone
(404) 352-8998
Fax
(404) 352-8990
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 044632 GA Primary

Addresses

Primary practice location

2797 Dover Rd NW
Atlanta, GA 30327-1207

Mailing address

2797 Dover Rd NW
Atlanta, GA 30327-1207
Phone (404) 352-8998

Other identifiers 1

IdentifierTypeStateIssuer
000861341AMedicaidGA

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
I20160209002017 GA Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 7315918950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044632GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Emergency Associates Emergency Medicine Past Accepting new patients
Peachtree Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1376632174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 DOVER RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271207",
            "telephone_number": "404-352-8998",
            "fax_number": "404-352-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 DOVER RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271207",
            "telephone_number": "404-352-8998",
            "fax_number": "404-352-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICHMAN",
        "first_name": "DAYNA",
        "middle_name": "GUTSIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "044632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000861341A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.