Organization Active NPI

Baumrind Retina, LLC

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1487313839
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BAUMRIND RETINA, LLC
Practice address
1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154
Phone
(404) 512-1590
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Benjamin Rosen Baumrind, MDNPI 1376771329
Title
Owner
Phone
(404) 512-1590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154

Mailing address

1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154
Phone (404) 512-1590

Other names 1

  • Baumrind Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220211000892 GA Part B Supplier - Clinic/Group Practice 8527451749 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

1425 Ellsworth Industrial Blvd NW
Ste 36
Atlanta, GA 30318
Phone (404) 512-1590

Interoperability endpoints

  • Direct secure messaging: bbaumrind@baumrind.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1487313839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 ELLSWORTH INDUSTRIAL BLVD NW STE 36",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184154",
            "telephone_number": "404-512-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 ELLSWORTH INDUSTRIAL BLVD NW STE 36",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184154",
            "telephone_number": "404-512-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUMRIND RETINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "BAUMRIND",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-512-1590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baumrind Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.