Individual provider Active NPI

Marc Rosenberg, MD

  • Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1427033083
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
47360 Issued in GA
Practice address
550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2209
Phone
(404) 881-1094
Fax
(404) 885-7777
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 47360 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2209

Mailing address

550 Peachtree St NE
Suite 1620
Atlanta, GA 30308-2209
Phone (404) 885-7701

Other identifiers 1

IdentifierTypeStateIssuer
00944996DMedicaidGA

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
I20101204000036 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 4183769433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aga, LLCGroup PAC ID 2365431350, 138 clinicians
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8633
Phone (770) 612-8165

340 N Milledge Ave
Suite B
Athens, GA 30601-3806
Phone (706) 548-0008

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075

900 Towne Lake Pkwy
Suite 308
Woodstock, GA 30189-1604
Phone (770) 926-5459

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy164
Upper gastrointestinal (GI) endoscopy for acid reflux113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47360GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC Gastroenterology CurrentSince Jun 1, 2002 Accepting new patients
Aga Professional Services, LLC Gastroenterology CurrentSince Jan 1, 2012 Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1200
Acworth, GA 30101
Phone (678) 631-4600

340 N Milledge Ave
Ste B
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

8855 Hospital Dr
Ste 101
Douglasville, GA 30134
Phone (678) 784-5020

1260 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (770) 486-7000

301 Philip Blvd
Ste A
Lawrenceville, GA 30046
Phone (770) 822-5560

3758 Highway 42 S
Ste 301
Locust Grove, GA 30248
Phone (678) 432-8246

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610

1340 Upper Hembree Rd
Ste A
Roswell, GA 30076
Phone (770) 569-0777

5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342

5671 Peachtree Dunwoody Rd
Ste 510
Sandy Springs, GA 30342
Phone (404) 350-0665

980 Johnson Fy Rd NE
Ste 820
Sandy Springs, GA 30342
Phone (404) 252-9307

5671 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342
Phone (404) 252-9307

5671 Ptree Dunwoody
Sandy Springs, GA 30342
Phone (404) 255-1030

1305 Jennings Mill Rd
Ste 260
Watkinsville, GA 30677
Phone (706) 548-0008

900 Towne Lake Pkwy
Ste 308
Woodstock, GA 30189
Phone (770) 926-5459

Interoperability endpoints

  • Direct secure messaging: marc.rosenberg@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1427033083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-885-7701",
            "fax_number": "404-885-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-881-1094",
            "fax_number": "404-885-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "47360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00944996D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.