Individual provider Active NPI

Alon Vainer, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1528088457
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036627 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd NE
Suite 420
Atlanta, GA 30342-1731
Phone
(404) 255-4347
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036627 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd NE
Suite 420
Atlanta, GA 30342-1731

Mailing address

540 Telford PL NE
Atlanta, GA 30342-2160
Phone (404) 255-4347

Other identifiers 1

IdentifierTypeStateIssuer
000544618DMedicaidGA

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
I20050107000255 GA Practitioner - Nephrology 2365490620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vainer and Vainer NephrologyGroup PAC ID 0244298354, 2 clinicians

Practice addresses (Care Compare)

5667 Peachtree Dunwoody Rd
Suite 380
Atlanta, GA 30342-1714
Phone (404) 255-4347

Hospital & facility affiliations

  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036627GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vainer & Vainer Nephrology Specialist CurrentSince Apr 1, 1995 Accepting new patients

Locations

5673 Peachtree Dunwoody Rd
Ste 420
Sandy Springs, GA 30342
Phone (404) 255-4347

5667 Ptree Dunwoody Rd NE
Ste 380
Sandy Springs, GA 30342
Phone (404) 255-4347

Organizations & group practices 1

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 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1528088457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TELFORD PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422160",
            "telephone_number": "404-255-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-255-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAINER",
        "first_name": "ALON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "036627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000544618D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.