Jeremias Rafael Duarte, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

86498 Issued in GA

Practice address

9040 Roswell Rd Ste 500
Atlanta, GA 30350-1863

Phone

(404) 490-3391

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

General Practice

Education

Philadelphia College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Medical Clinic of Midtown LLCGroup PAC ID 8820444706, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Atlanta Medical Clinic of Midtown LLC

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
  • NPI 1457130759
  Medicare reassignment Care Compare group NPD
• Atlanta Medical Clinic L L C

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1891018016
  Medicare reassignment NPD
• Only One Hub

  • Family Medicine Physician
  • Ebensburg, PA
  • NPI 1386373041

  GA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD
• Tiny Ducky, LLC

  • General Practice Physician
  • Marietta, GA
  • NPI 1629888474
  NPD Authorized official
• Georgia Health Clinics, LLC

  • Medical Specialty Clinic/Center
  • Roswell, GA
  • NPI 1982288536
  NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1780189514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 ALDBURY LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896689",
            "telephone_number": "706-536-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 ROSWELL RD STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501863",
            "telephone_number": "404-490-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 River Rd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070476217",
            "country_code": "US",
            "telephone_number": "210-710-2756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1434 Autumnridge Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319043023",
            "country_code": "US",
            "telephone_number": "706-536-9061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JEREMIAS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "86498",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "GA",
            "license": "86498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prajna Dsilva
• Elena Dsouza, PA-S
• Li Du, LICENSE ACUPUNCTURIS
• Susheel Dua, MD
• Amber Duarrani
• Jerry Lendon Dubberly, PHARMACIST (PHARMD)
• Janhavi Dubhashi
• Collin Harding Dubick, M.D.
• Cynthia Ellen Dubin, CNM, FNP
• Sarah Dubin

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.