Active NPI
Timothy Ryan Erdei, MD
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 91772
- Practice address
- 3020 Paces Mill Rd SE
Atlanta, GA 30339-3744 - Phone
- (770) 437-4200
- NPI assigned
- Apr 3, 2019
- Last updated
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 91772 | GA | Primary |
Addresses
Primary practice location
3020 Paces Mill Rd SE
Atlanta, GA 30339-3744
Mailing address
57 Hurt Dr SE
Smyrna, GA 30082-2701
Other practice location 1
57 Hurt Dr SE
Smyrna, GA 30082-2701
Phone (770) 262-4474
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3020 Paces Mill Rd SE
Atlanta, GA 30339-3744
Phone (770) 437-4200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
3020 Paces Mill Rd SE
Vinings, GA 30339
Phone (770) 437-4200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1538621016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 HURT DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 PACES MILL RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393744",
"telephone_number": "770-437-4200"
}
],
"practiceLocations": [
{
"address_1": "57 Hurt Dr SE",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300822701",
"country_code": "US",
"telephone_number": "770-262-4474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERDEI",
"first_name": "TIMOTHY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "91772",
"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 Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.