Individual provider Active NPI

Richard Abraham Waldman, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1699891432
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
048198 Issued in GA
Practice address
30 Lenox Pointe NE Ste a
Atlanta, GA 30324-3177
Phone
(404) 841-0641
Fax
(404) 365-9397
NPI assigned
Mar 22, 2007
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
Psychiatry Physician 2084P0800X 048198 GA Primary

Addresses

Primary practice location

30 Lenox Pointe NE Ste a
Atlanta, GA 30324-3177

Mailing address

30 Lenox Pointe NE Ste a
Atlanta, GA 30324-3177
Phone (404) 841-0641

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
I20040211000525 GA Practitioner - Psychiatry 9638063571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2999 Piedmont Rd NE
Suite B
Atlanta, GA 30305-2792
Phone (404) 841-0641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048198GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Waldman, M.D., P.C. Psychiatry CurrentSince Apr 24, 2013 Accepting new patients

Locations

2999 Piedmont Rd NE
Ste B
Atlanta, GA 30305
Phone (404) 841-0641

30 Lenox Pointe NE
Ste A
Atlanta, GA 30324
Phone (404) 213-0685

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699891432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243177",
            "telephone_number": "404-841-0641",
            "fax_number": "404-365-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243177",
            "telephone_number": "404-841-0641",
            "fax_number": "404-365-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "RICHARD",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "048198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.