Active NPI
Ray Horwitz, D.O.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1376640953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 038513
- Practice address
- 990 Hammond Dr NE
Building One, Suite 730
Atlanta, GA 30328-5529 - Phone
- (770) 394-5050
- Fax
- (770) 730-0998
- NPI assigned
- Sep 17, 2006
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 038513 | GA | Primary |
Addresses
Primary practice location
990 Hammond Dr NE
Building One, Suite 730
Atlanta, GA 30328-5529
Mailing address
990 Hammond Dr NE
Building One, Suite 730
Atlanta, GA 30328-5529
Phone (770) 394-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00682899C | Medicaid | GA | |
| 00682899D | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060104000675 | GA | Practitioner - Psychiatry | 5092738146 | Practice locations: Atlanta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Michigan State University College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
990 Hammond Dr
Atlanta, GA 30328-9113
Phone (770) 394-5050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul R Coplin MD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1376640953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 HAMMOND DR NE",
"address_2": "BUILDING ONE, SUITE 730",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285529",
"telephone_number": "770-394-5050",
"fax_number": "770-730-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 HAMMOND DR NE",
"address_2": "BUILDING ONE, SUITE 730",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285529",
"telephone_number": "770-394-5050",
"fax_number": "770-730-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORWITZ",
"first_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "038513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00682899C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00682899D",
"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 Feb 11, 2008; 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.
- 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.