Active NPI
Baumrind Retina, LLC
- Ophthalmology Physician
- Atlanta, GA
National Provider Identifier
1487313839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Rosen Baumrind, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1425 Ellsworth Industrial Blvd NW
Ste 36
Atlanta, GA 30318
Phone (404) 512-1590
Interoperability endpoints
- 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.