Active NPI
David A Levine, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1821098583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 040454
- Practice address
- 75 Piedmont Ave NE Ste 700
Atlanta, GA 30303-2526 - Phone
- (404) 756-1433
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 040454 | GA | Primary |
Addresses
Primary practice location
75 Piedmont Ave NE Ste 700
Atlanta, GA 30303-2526
Mailing address
75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 736-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000659986AI | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040454 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dlevine2946024@carolinashealthcaresystem.direct-ci.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1821098583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PIEDMONT AVE NE",
"address_2": "STE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-736-1400",
"fax_number": "404-736-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PIEDMONT AVE NE STE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032526",
"telephone_number": "404-756-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "040454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000659986AI",
"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 May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.