Individual provider Active NPI

Patrick J Voswinkel, M.D.

  • Family Medicine Physician
  • Duluth, GA
National Provider Identifier
1548207442
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042760 Issued in GA
Practice address
10475 Medlock Bridge Rd
Suite 815
Duluth, GA 30097-2002
Phone
(678) 990-4828
Fax
(678) 990-4824
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042760 GA Primary

Addresses

Primary practice location

10475 Medlock Bridge Rd
Suite 815
Duluth, GA 30097-2002

Mailing address

10475 Medlock Bridge Rd
Suite 815
Duluth, GA 30097-2002
Phone (678) 990-4828

Other identifiers 1

IdentifierTypeStateIssuer
031810OtherGAAETNA

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
I20060831000440 GA Practitioner - Family Practice 8628072873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivy Falls Family MedicineGroup PAC ID 1456355601, 2 clinicians

Practice addresses (Care Compare)

10475 Medlock Bridge Rd
Suite 815
Duluth, GA 30097-4437
Phone (678) 990-4828

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Falls Family Medicine CurrentSince Apr 1, 2006 Accepting new patients

Locations

10475 Medlock Bridge Rd
Ste 815
Johns Creek, GA 30097
Phone (678) 990-4828

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADGBAA

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 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1548207442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 815",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972002",
            "telephone_number": "678-990-4828",
            "fax_number": "678-990-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 815",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972002",
            "telephone_number": "678-990-4828",
            "fax_number": "678-990-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSWINKEL",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "031810",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.