Individual provider Active NPI

Ashley Oliver Bufe, M.D.

  • Pediatrics Physician
  • Decatur, GA
National Provider Identifier
1588824155
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
65740 Issued in GA
Practice address
350 Winn Way
Decatur, GA 30030-2106
Phone
(404) 508-1177
Fax
(404) 508-9640
NPI assigned
Jun 16, 2008
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 65740 GA Primary

Addresses

Primary practice location

350 Winn Way
Decatur, GA 30030-2106

Mailing address

350 Winn Way
Decatur, GA 30030-2106
Phone (404) 508-1177

Other identifiers 1

IdentifierTypeStateIssuer
003109517AMedicaidGA

Other names 1

  • Ashley Elizabeth Oliver Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65740GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Pediatric Center Pediatrics PastSince Feb 1, 2021 Accepting new patients
Childfren's Medical Group, P.C. Past Accepting new patients
Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.bufe@cmgpc.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1588824155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302106",
            "telephone_number": "404-508-1177",
            "fax_number": "404-508-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302106",
            "telephone_number": "404-508-1177",
            "fax_number": "404-508-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFE",
        "first_name": "ASHLEY",
        "middle_name": "OLIVER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "65740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109517A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "OLIVER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.