Active NPI
David Mark Battista, M.D., M.P.H.
- Clinic/Center
- Atlanta, GA
National Provider Identifier
1497908834
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Sep 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 68107
- Practice address
- 3149 E Shadowlawn Ave NE
Atlanta, GA 30305-2405 - Phone
- (404) 549-7021
- Fax
- (404) 549-7957
- NPI assigned
- Oct 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 192108 | NY | |
| Clinic/Center | 261Q00000X | 68107 | GA | Primary |
Addresses
Primary practice location
3149 E Shadowlawn Ave NE
Atlanta, GA 30305-2405
Mailing address
3149 E Shadowlawn Ave NE
Atlanta, GA 30305-2405
Phone (404) 549-7021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192108 | NY | MD | Child & Adolescent Psychiatry Physician |
| 68107 | GA | MD | Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Health Center Inc. | Past | Accepting new patients | |
| Chiron Medical Services Inc., | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Clinic/Center
- Atlanta, GA
- NPI 1659625416
-
- Pain Clinic/Center
- Atlanta, GA
- NPI 1679919831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1497908834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3149 E SHADOWLAWN AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052405",
"telephone_number": "404-549-7021",
"fax_number": "404-549-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3149 E SHADOWLAWN AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052405",
"telephone_number": "404-549-7021",
"fax_number": "404-549-7957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTISTA",
"first_name": "DAVID",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-29",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "192108",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "68107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.