Individual provider Active NPI

Claro Tesoro Palma, MD

  • Rheumatology Physician
  • Ellijay, GA
National Provider Identifier
1679527063
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
82720 Issued in GA
Practice address
822 Industrial Blvd Ste 100
Ellijay, GA 30540-3804
Phone
(706) 515-7030
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 82720 GA Primary

Addresses

Primary practice location

822 Industrial Blvd Ste 100
Ellijay, GA 30540-3804

Mailing address

2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Phone (470) 271-3418

Other identifiers 3

IdentifierTypeStateIssuer
42141730753OtherIAJOHN DEERE HEALTH INS PLA
52996OtherIAWELLMARK INS PLAN
0133629MedicaidIA

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
I20190723002095 GA Practitioner - Rheumatology 4587708201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

15 Reinhardt College Pkwy
Canton, GA 30114-5259

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

Hospital & facility affiliations

  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Union General Hospital Hospital, Blairsville, GA, CCN 110051
  • Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Jul 8, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

822 Industrial Blvd
Ste 100
Ellijay, GA 30540
Phone (706) 515-7010

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.

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1679527063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE STE 1-1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396151",
            "telephone_number": "470-271-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 INDUSTRIAL BLVD STE 100",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403804",
            "telephone_number": "706-515-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "CLARO",
        "middle_name": "TESORO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "82720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS PLA",
            "identifier": "42141730753",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "52996",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133629",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.