NPIMap

Individual provider Active NPI

Marc I. Unterman, MD

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1427044858
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19800 Issued in GA
Practice address
766 Walther Rd
Suite 100
Lawrenceville, GA 30046-8764
Phone
(678) 312-9100
Fax
(678) 312-9101
NPI assigned
Sep 21, 2005
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19800 GA Primary
Interventional Cardiology Physician 207RI0011X 19800 GA

Addresses

Primary practice location

766 Walther Rd
Suite 100
Lawrenceville, GA 30046-8764

Mailing address

766 Walther Rd
Suite 100
Lawrenceville, GA 30046-8764
Phone (678) 312-9100

Other identifiers 1

IdentifierTypeStateIssuer
00170607DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000391 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac SurgeryPractitioner - Interventional Cardiology 7810948346 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Emory University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

3435 Hwy 81
Suite 200
Loganville, GA 30052-9138
Phone (770) 736-6300

766 Walther Rd
Suite 100
Lawrenceville, GA 30046-8765
Phone (770) 736-6300

95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000

95 Collier Rd NW
Suite 6000
Atlanta, GA 30309-1796
Phone (404) 605-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19800GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Aug 1, 2021 Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Jan 1, 2005 Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Jan 1, 2005 Accepting new patients
Gwinnett Medical Group, Inc Current Accepting new patients
Northside Hospital, Inc. CurrentSince Jan 1, 1998 Accepting new patients
Northside Hospital, Inc. CurrentSince Jan 1, 1998 Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease Past Accepting new patients

Locations

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

755 Walther Rd
Lawrenceville, GA 30046

766 Walther Rd
Ste 100
Lawrenceville, GA 30046
Phone (678) 985-8001

3435 Highway 81
Ste 200
Loganville, GA 30052

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2151 W Spring St
Ste B220
Monroe, GA 30655
Phone (770) 267-1895

5667 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 851-5100

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1800 Tree Ln
Ste 250
Snellville, GA 30078
Phone (678) 631-3710

Organizations & group practices 8

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.

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1427044858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468764",
            "telephone_number": "678-312-9100",
            "fax_number": "678-312-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468764",
            "telephone_number": "678-312-9100",
            "fax_number": "678-312-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERMAN",
        "first_name": "MARC",
        "middle_name": "I.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "19800",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "19800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00170607D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.