Eamon K Dutta, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

046593 Issued in GA

Practice address

2150 Peachford Rd
Atlanta, GA 30338-6520

Phone

(770) 455-3200

Fax

(770) 458-1594

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDJEDD/Endpoint/EDJEDD
• FHIR API: https://fhir4.healow.com/fhir/r4/HHAGBD/Endpoint/HHAGBD

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.

• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229
  Medicare reassignment NPD
• Eamon Dutta, MD PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1629246137
  Medicare reassignment NPD
• Atlanta DBT Center

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1851665319
  NPD (past) Authorized official
• Eliann Psych, LLC

  • Specialist
  • Atlanta, GA
  • NPI 1538514963
  NPD
• Uhs of Peachford, L.P.

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1093781544
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1396822979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD",
            "address_2": "STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386521",
            "telephone_number": "770-674-0553",
            "fax_number": "770-674-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386520",
            "telephone_number": "770-455-3200",
            "fax_number": "770-458-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Lake Forrest Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303283837",
            "country_code": "US",
            "telephone_number": "678-984-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "EAMON",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "046593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Raymond Dustin, LMT
• Richard Duszak Jr., M.D.
• Giselle Marie Almeida Dutcher, MD
• Indira Dutchin
• Monica Dutke
• Carissa Merea Duvall, MSN, APRN, AGPCNP-BC
• Diane V Duvall, M.D.
• Dalyngs Duvelsaint
• Yazan Duwayri, M.D.
• Dva Healthcare Renal Care Inc

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.