Active NPI
Ronald L Hart, MD
- Family Medicine Physician
- Dacula, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 046115
- Practice address
- 3685 Braselton Hwy
Suite 100
Dacula, GA 30019-5920 - Phone
- (678) 546-9800
- Fax
- (678) 344-8600
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 046115 | GA | Primary |
Addresses
Primary practice location
3685 Braselton Hwy
Suite 100
Dacula, GA 30019-5920
Mailing address
2878 Five Forks Trickum Rd
2A
Lawrenceville, GA 30044-5896
Phone (678) 344-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000841882AF | Medicaid | GA | |
| 000841882AI | Medicaid | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046115 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Emergency Services, Inc. | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Reagan Medical Center LLC | Family Medicine | Current | Accepting new patients |
| Dennis R Thomas MD PC | Family Medicine | Past | Accepting new patients |
Locations
485 Highway 29 N
Athens, GA 30601
Phone (706) 353-6000
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
3685 Braselton Hwy
Ste 100
Dacula, GA 30019
Phone (678) 250-0880
2878 Five Forks Trickum Rd
Ste 2A
Lawrenceville, GA 30044
Phone (678) 999-2299
2878 Five Forks Trickum Rd
Lawrenceville, GA 30044
Phone (770) 344-8700
1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100
5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374
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.
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-
- Family Medicine Physician
- Suwanee, GA
- NPI 1952316747
-
- Family Medicine Physician
- Valdosta, GA
- NPI 1396015343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1730185596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2878 FIVE FORKS TRICKUM RD",
"address_2": "2A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445896",
"telephone_number": "678-344-8700",
"fax_number": "678-377-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3685 BRASELTON HWY",
"address_2": "SUITE 100",
"city": "DACULA",
"state": "GA",
"postal_code": "300195920",
"telephone_number": "678-546-9800",
"fax_number": "678-344-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "RONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "046115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000841882AF",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000841882AI",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.