Individual provider Active NPI

Ray Horwitz, D.O.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1376640953
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
038513 Issued in GA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00682899CMedicaidGA
00682899DMedicaidGA

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
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

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.