Individual provider Active NPI

Avery H Nathanson, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Decatur, GA
National Provider Identifier
1679574198
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
054815 Issued in GA
Practice address
2665 N Decatur Rd Ste 440
Decatur, GA 30033-6146
Phone
(404) 712-7533
Fax
(404) 501-7652
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 054815 GA
Pulmonary Disease Physician 207RP1001X 054815 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 054815 GA Primary

Addresses

Primary practice location

2665 N Decatur Rd Ste 440
Decatur, GA 30033-6146

Mailing address

2665 N Decatur Rd Ste 440
Decatur, GA 30033-6146
Phone (404) 712-7533

Other identifiers 1

IdentifierTypeStateIssuer
185405668AMedicaidGA

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
I20040825000953 GA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2860389913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Critical Care (Intensivists), Internal Medicine, Pulmonary Disease
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054815GAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Sleep Specialists, PC Critical Care Medicine CurrentSince Aug 16, 2004 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 1, 2024 Accepting new patients
Pulmonary & Sleep Associates of South Florida PA Pulmonary Disease Past Accepting new patients
Emory Health Care Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2665 N Decatur Rd
Ste 230
Decatur, GA 30033
Phone (404) 499-0533

2665 N Decatur Rd
Decatur, GA 30033
Phone (404) 299-2223

2665 N Decatur Rd
Ste 440
Decatur, GA 30033
Phone (404) 298-0921

Interoperability endpoints

  • Direct secure messaging: avery.nathanson@468.chartlogic.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEJBD
  • Direct secure messaging: anathanson48519@direct.emory.org
  • Direct secure messaging: avery.nathanson@gadirect.net

Organizations & group practices 4

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 6

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1679574198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 440",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336146",
            "telephone_number": "404-712-7533",
            "fax_number": "404-501-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 440",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336146",
            "telephone_number": "404-712-7533",
            "fax_number": "404-501-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "AVERY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "054815",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "054815",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "054815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185405668A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.