Individual provider Active NPI

Preethi Natarajan, MD

  • Specialist
  • Douglasville, GA
National Provider Identifier
1760405146
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
056741 Issued in GA
Practice address
4586 Timber Ridge Drive
Suite 180
Douglasville, GA 30135
Phone
(678) 838-2180
Fax
(678) 838-2191
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 056741 GA Primary

Addresses

Primary practice location

4586 Timber Ridge Drive
Suite 180
Douglasville, GA 30135

Mailing address

4586 Timber Ridge Drive
Suite 180
Douglasville, GA 30135
Phone (678) 838-2180

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
I20051107000154 GA Practitioner - Neurology 7911925102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4374 Atlanta Hwy
Suite 129
Hiram, GA 30141-1847

4374 Atlanta Hwy
Suite 129
Hiram, GA 30141-1852
Phone (678) 838-2180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as individual
Quality
81.89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Neurology Associates, P.C. CurrentSince Dec 1, 2005 Accepting new patients

Locations

4586 Timber Ridge Dr
Ste 180
Douglasville, GA 30135
Phone (678) 838-2180

4374 Atlanta Hwy
Ste 129
Hiram, GA 30141
Phone (678) 838-2180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACJCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JACJCA/Endpoint/JACJCA

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.

Hospital & facility affiliations 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1760405146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4586 TIMBER RIDGE DRIVE",
            "address_2": "SUITE 180",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "678-838-2180",
            "fax_number": "678-838-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 TIMBER RIDGE DRIVE",
            "address_2": "SUITE 180",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "678-838-2180",
            "fax_number": "678-838-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATARAJAN",
        "first_name": "PREETHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "056741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.