Individual provider Active NPI

Joseph N. Saba, M.D.

  • Specialist
  • Riverdale, GA
National Provider Identifier
1639109424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
022177 Issued in GA
Practice address
6285 Garden Walk Blvd
Suite C
Riverdale, GA 30274-2612
Phone
(770) 996-1352
Fax
(770) 991-0850
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 022177 GA Primary

Addresses

Primary practice location

6285 Garden Walk Blvd
Suite C
Riverdale, GA 30274-2612

Mailing address

6285 Garden Walk Blvd
Suite C
Riverdale, GA 30274-2612
Phone (770) 996-1352

Other identifiers 1

IdentifierTypeStateIssuer
00211923AMedicaidGA

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
I20100608000432 GA Practitioner - Neurology 7416922273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022177GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center Neurology, P.C. Specialist CurrentSince Sep 1, 1980 Accepting new patients
Symed Counseling Services, LLC PastSince Jul 15, 2008 Accepting new patients

Locations

6285 Garden Walk Blvd
Riverdale, GA 30274
Phone (770) 996-1252

6285 Garden Walk Blvd
Ste C
Riverdale, GA 30274
Phone (770) 996-1252

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639109424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 GARDEN WALK BLVD",
            "address_2": "SUITE C",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742612",
            "telephone_number": "770-996-1352",
            "fax_number": "770-991-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 GARDEN WALK BLVD",
            "address_2": "SUITE C",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742612",
            "telephone_number": "770-996-1352",
            "fax_number": "770-991-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABA",
        "first_name": "JOSEPH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "022177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00211923A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.