Individual provider Active NPI

Amy Mininberg, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1740373893
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53272 Issued in GA
Practice address
4890 Roswell Rd
Suite 100
Atlanta, GA 30342-2606
Phone
(404) 351-7467
Fax
(404) 719-4121
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53272 GA Primary

Addresses

Primary practice location

4890 Roswell Rd
Suite 100
Atlanta, GA 30342-2606

Mailing address

3280 Howell Mill Rd NW Ste 150
Atlanta, GA 30327-4102
Phone (404) 351-7467

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
I20050311000301 GA Practitioner - Internal Medicine 3274587290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckhead Internal MedicneGroup PAC ID 3870584899, 3 clinicians

Practice addresses (Care Compare)

2021 Peachtree Rd NE
Suite 550
Atlanta, GA 30309-1993
Phone (404) 275-1674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53272GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buckhead Internal Medicne Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Piedmont Internal Medicine, P.C. Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
TMH Physician Associates PLLC Internal Medicine Past Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste 150
Atlanta, GA 30327
Phone (404) 351-7467

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

4890 Roswell Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 351-7467

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1740373893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274102",
            "telephone_number": "404-351-7467",
            "fax_number": "404-719-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 ROSWELL RD",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422606",
            "telephone_number": "404-351-7467",
            "fax_number": "404-719-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MININBERG",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "53272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.