Active NPI
Raphael S Levine, M.D.
- Specialist
- Atlanta, GA
National Provider Identifier
1750629978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14243
- Practice address
- 350 Craighead Dr NE
Atlanta, GA 30319-1086 - Phone
- (404) 843-1967
- Fax
- (404) 843-1967
- NPI assigned
- Jan 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 14243 | GA | Primary |
Addresses
Primary practice location
350 Craighead Dr NE
Atlanta, GA 30319-1086
Mailing address
350 Craighead Dr NE
Atlanta, GA 30319-1086
Phone (404) 843-1967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14243 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1750629978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CRAIGHEAD DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191086",
"telephone_number": "404-843-1967",
"fax_number": "404-843-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CRAIGHEAD DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191086",
"telephone_number": "404-843-1967",
"fax_number": "404-843-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "RAPHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "14243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.