Active NPI
Douglas M Radman, MD
- Family Medicine Physician
- Johns Creek, GA
National Provider Identifier
1609880285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 044820
- Practice address
- 11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3515 - Phone
- (770) 497-1555
- Fax
- (770) 497-9998
- NPI assigned
- Jul 28, 2006
- Last updated
- Mar 29, 2016
- 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 | 044820 | GA | Primary |
Addresses
Primary practice location
11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3515
Mailing address
1875 Millikin Rd
Columbus, OH 43210
Phone (614) 247-8781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00792283A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Center, University of Ga Health Center Pharmacy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Georgia Health Center Pharmacy
- Pharmacist
- Athens, GA
- NPI 1558435784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1609880285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 MILLIKIN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-247-8781",
"fax_number": "614-247-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11459 JOHNS CREEK PKWY",
"address_2": "SUITE 250",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300973515",
"telephone_number": "770-497-1555",
"fax_number": "770-497-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADMAN",
"first_name": "DOUGLAS",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "044820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00792283A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
- Puresoul Tradings LLC
- Venkata Shiva Puttagunta
- Pyramid Family Behavioral Healthcare LLC (Pyramid Healthcare Assessment Center)
- Pyramid Family Behavioral Healthcare LLC
- Quality Life Chiropractic L.L.C
- Saeed Raees, DOCTOR OF PHARMACY
- Arwyn E Raina, M.D.
- Rano Rakhmanova, NP
- Seanah Lynn Ralston
- Emily Ramnarine, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.