Individual provider Active NPI

David Rogers Redding, MD

  • Allergy & Immunology Physician
  • Atlanta, GA
National Provider Identifier
1710181391
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
61508 Issued in GA
Practice address
3193 Howell Mill Rd NW
Ste 102
Atlanta, GA 30327-2119
Phone
(404) 355-0078
Fax
(404) 355-0079
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 61508 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Ste 102
Atlanta, GA 30327-2119

Mailing address

3193 Howell Mill Rd NW
Ste 102
Atlanta, GA 30327-2119
Phone (404) 355-0078

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
I20100525000623 GA Practitioner - Allergy/Immunology 0941339220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redding Allergy and Asthma Center, Inc.Group PAC ID 1254469968, 2 clinicians

Practice addresses (Care Compare)

3193 Howell Mill Rd NW
Suite 102
Atlanta, GA 30327-2100
Phone 40435500783

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61508GAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Allergy and Asthma Center, Inc. Allergy & Immunology CurrentSince Feb 28, 2010 Accepting new patients
Redding Pediatric Allergy and Asthma Center Allergy & Immunology PastSince Feb 28, 2010 Accepting new patients

Locations

3193 Howell Mill Rd NW
Ste 102
Atlanta, GA 30327
Phone (404) 355-0078

Interoperability endpoints

  • Direct secure messaging: redding.david.001.0100029@rea.meditab.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1710181391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-355-0078",
            "fax_number": "404-355-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-355-0078",
            "fax_number": "404-355-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "DAVID",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "61508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.