Individual provider Active NPI

Jannie Kritzinger Barkhuizen, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1467419580
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
050089 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(404) 605-2800
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 050089 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

4817 Kings Down Rd
Dunwoody, GA 30338-5633

Other practice location 1

1700 Medical Way
Eastside Medical Center
Snellville, GA 30278
Phone (770) 736-2376

Other identifiers 1

IdentifierTypeStateIssuer
000967722MedicaidGA

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
I20050208000387 GA Practitioner - Emergency Medicine 1951352871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Emory University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Ed Professionals LLCGroup PAC ID 1759543176, 37 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050089GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelfish Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Oct 1, 2013 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 19, 2023 Accepting new patients
Piedmont Ed Professionals, LLC Emergency Medicine CurrentSince Apr 17, 2024 Accepting new patients
Paragon Emergency Physicians PC Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
Cartersville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

600 W Memorial Dr
Dallas, GA 30132
Phone (770) 443-7072

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

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

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1467419580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 KINGS DOWN RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385633",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Medical Way",
            "address_2": "Eastside Medical Center",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "30278",
            "country_code": "US",
            "telephone_number": "770-736-2376",
            "fax_number": "770-736-2379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKHUIZEN",
        "first_name": "JANNIE",
        "middle_name": "KRITZINGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "050089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000967722",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.