Individual provider Active NPI

Mark A Haber, M.D.

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1710089404
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
030080 Issued in GA
Practice address
5730 Glenridge Dr Ste 200
Atlanta, GA 30328-5579
Phone
(404) 256-1844
Fax
(404) 252-5642
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 030080 GA Primary

Addresses

Primary practice location

5730 Glenridge Dr Ste 200
Atlanta, GA 30328-5579

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Other identifiers 2

IdentifierTypeStateIssuer
000376164BMedicaidGA
340008500OtherGARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.haber.p1@direct.gupa.nextgenshare.com Direct

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
I20101201001276 GA Practitioner - Urology 7113914490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

11835 Alpharetta Hwy
Roswell, GA 30076-4929
Phone (770) 475-7550

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

2685 Milscott Dr
Decatur, GA 30033-5906
Phone (404) 292-3727

5730 Glenridge Dr
Suite 200
Atlanta, GA 30328-5579
Phone (404) 256-1844

9 Medical Dr NE
Suite a
Cartersville, GA 30121-8003
Phone (770) 607-1893

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA Urology Current Accepting new patients
Georgia Urology PA Urology CurrentSince Jan 1, 2005 Accepting new patients
Georgia Urology, PA CurrentSince Aug 1, 1995 Accepting new patients
Urological Professional Services, LLC Urology CurrentSince Oct 10, 2014 Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1400 Northside Forsyth Dr
Ste 220
Cumming, GA 30041
Phone (678) 208-0700

1800 Northside Forsyth Dr
Ste 370
Cumming, GA 30041
Phone (770) 889-9737

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: mark.haber@gadirect.net
  • Direct secure messaging: mark.haber.p1@direct.gupa.nextgenshare.com

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 2

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710089404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 GLENRIDGE DR STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285579",
            "telephone_number": "404-256-1844",
            "fax_number": "404-252-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "030080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000376164B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340008500",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.haber.p1@direct.gupa.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5730 Glenridge Dr Ste 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303285579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.