Active NPI
Barbara A Dampog, M.D
- Cytopathology Physician
- Atlanta, GA
National Provider Identifier
1790841120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 018136
- Practice address
- 3300 Buckeye Rd
Suite 178
Atlanta, GA 30341-4229 - Phone
- (770) 458-6103
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 018136 | GA | Primary |
Addresses
Primary practice location
3300 Buckeye Rd
Suite 178
Atlanta, GA 30341-4229
Mailing address
6179 Windsong Way
Stone Mountain, GA 30087-1945
Phone (770) 923-5495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000266175C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Laboratory | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Macon, GA
- NPI 1528125648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1790841120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6179 WINDSONG WAY",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300871945",
"telephone_number": "770-923-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 BUCKEYE RD",
"address_2": "SUITE 178",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303414229",
"telephone_number": "770-458-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMPOG",
"first_name": "BARBARA",
"middle_name": "A",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "GA",
"license": "018136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000266175C",
"state": "GA"
}
],
"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 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.