Stephen A Berry, MD
Individual provider Active NPI Internal Medicine Physician · Dahlonega, GA
NPI 1477533206 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1477533206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 047295 (GA)
- Practice address
- 134 Ansley Dr Ste 100
Dahlonega, GA 30533-1640 - Phone
- (706) 864-8385
- Fax
- (706) 864-5073
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgialina Physical Therapy Associates LLC
Northside Primary Care Professional Services,LLC
Practice addresses (Care Compare)
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210
3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisy Company
- Northside Hospital Forsyth
- Northeast Georgia Medical Center, Inc
- Northside Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071113000260 | GA | Practitioner - Internal Medicine | 2860580602 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047295 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services,LLC | Current |
Accepting new patients | |
| Northside Primary Care Professional Services, LLC | Current |
Accepting new patients | |
| Kenneth E Hooton, O.D. | Past |
Accepting new patients |
Locations
134 Ansley Dr
Ste 100
Dahlonega, GA 30533
Phone (706) 864-8385
1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 047295 | GA | Yes |
Addresses
Primary practice location
134 Ansley Dr Ste 100
Dahlonega, GA 30533-1640
Mailing address
134 Ansley Dr Ste 100
Dahlonega, GA 30533-1640
Phone (706) 389-3740
Other providers in Dahlonega, GA
- Rebecca Gay Baldwin
- Karla Barboza
- Elissa Jeanne Barnett
- Toni Odom Barnett
- Jaymee Baysden
- Better Life Senior Solutions, LLC
- Paula Bingham
- Gerald Alan Binkely
- Erin Black
- Christine Blumberg
All providers in Dahlonega, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.