Individual provider Active NPI

Douglas K Laipple, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1659468668
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
021410 Issued in GA
Practice address
2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148
Phone
(770) 939-1288
Fax
(770) 212-2203
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 021410 GA Primary

Addresses

Primary practice location

2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148

Mailing address

2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148
Phone (770) 939-1288

Other identifiers 1

IdentifierTypeStateIssuer
434028712CMedicaidGA

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
I20041012000299 GA Practitioner - Psychiatry 0547220998 Reassigns benefits to 4 organizations
Practice locations: Rome, GA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Psychology Center LLCGroup PAC ID 0648424796, 8 clinicians
Premier Healthcare InvestmentsGroup PAC ID 9830327972, 7 clinicians

Practice addresses (Care Compare)

2900 Chamblee Tucker Rd
BLDG 16
Atlanta, GA 30341-4148
Phone (770) 939-1288

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-3100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Investments CurrentSince Oct 10, 2014 Accepting new patients
New Horizons Area MH Mr Sa Program CurrentSince Apr 10, 2018 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Premier Healthcare Investments CurrentSince Oct 10, 2014 Accepting new patients
United Psychology Center, LLC Psychiatry CurrentSince Aug 18, 2014 Accepting new patients
Highland Rivers CSB CurrentSince Jan 12, 2021 Accepting new patients
Highland Rivers CSB CurrentSince Jan 12, 2021 Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

650 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 387-3538

2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321

6 Mathis Dr NW
Rome, GA 30165
Phone (706) 233-9023

6 Mathis Dr NW
Ste B
Rome, GA 30165
Phone (706) 233-9023

Organizations & group practices 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1659468668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414148",
            "telephone_number": "770-939-1288",
            "fax_number": "770-212-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414148",
            "telephone_number": "770-939-1288",
            "fax_number": "770-212-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIPPLE",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "021410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434028712C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.