Active NPI
Jose A Batista, M.D.
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1780906792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22118
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Vital, LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Chamblee, GA
- NPI 1780374645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.