Individual provider Active NPI

Jose A Batista, M.D.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1780906792
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22118 Issued in GA
Practice address
3661 Clairmont Rd
Atlanta, GA 30341-4907
Phone
(770) 696-5649
Fax
(770) 733-1360
NPI assigned
Feb 17, 2010
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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 22118 GA Primary

Addresses

Primary practice location

3661 Clairmont Rd
Atlanta, GA 30341-4907

Mailing address

3661 Clairmont Rd
Atlanta, GA 30341-4907
Phone (770) 696-5649

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
I20240208003401 GA Practitioner - Family Practice 2365885183 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Vital, LLC Family Medicine CurrentSince Nov 20, 2023 Accepting new patients

Locations

3661 Clairmont Rd
Chamblee, GA 30341
Phone (770) 696-5649

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1780906792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 CLAIRMONT RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414907",
            "telephone_number": "770-696-5649",
            "fax_number": "770-733-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 CLAIRMONT RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414907",
            "telephone_number": "770-696-5649",
            "fax_number": "770-733-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "22118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.