Individual provider Active NPI

Denise Workman, D.O.

  • Family Medicine Physician
  • Cleveland, GA
National Provider Identifier
1780625293
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50693 Issued in GA
Practice address
55 Cantrell Rd
Ste. 100
Cleveland, GA 30528
Phone
(706) 348-8763
Fax
(706) 348-1931
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50693 GA Primary

Addresses

Primary practice location

55 Cantrell Rd
Ste. 100
Cleveland, GA 30528

Mailing address

55 Cantrell Rd
Ste. 100
Cleveland, GA 30528
Phone (706) 348-8763

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
I20040429001356 GA Practitioner - Family Practice 8527055565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

1309 Ben T Huiet Hwy
Clarkesville, GA 30523-2809
Phone (706) 348-8763

55 Cantrell Rd
Suite 100
Cleveland, GA 30528-1083
Phone (706) 348-8763

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50693GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Sep 14, 2018 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Sep 14, 2018 Accepting new patients
Black Bear Treatment Center LLC Past Accepting new patients

Locations

55 Cantrell Rd
Ste 100
Cleveland, GA 30528
Phone (706) 348-8763

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: denise.workman.1@8042.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1780625293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CANTRELL RD",
            "address_2": "STE. 100",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "30528",
            "telephone_number": "706-348-8763",
            "fax_number": "706-348-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CANTRELL RD",
            "address_2": "STE. 100",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "30528",
            "telephone_number": "706-348-8763",
            "fax_number": "706-348-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "50693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, GA

Sources for this page

Verify at the official NPI Registry.