Individual provider Active NPI

Annette Mary Bernard, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1831232024
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36102 Issued in GA
Practice address
619 Rankin St NE
Atlanta, GA 30308-2920
Phone
(404) 874-3102
Fax
(404) 874-4817
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36102 GA Primary

Addresses

Primary practice location

619 Rankin St NE
Atlanta, GA 30308-2920

Mailing address

619 Rankin St NE
Atlanta, GA 30308-2920
Phone (404) 874-3102

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
I20050811000886 GA Practitioner - Internal Medicine 0648209643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

3560 Lenox Rd NE
Suite 1230
Atlanta, GA 30326-4335
Phone (888) 250-5708

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36102GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Medical Georgia II PC CurrentSince Aug 17, 2024 Accepting new patients
Ascend Medical Georgia PC CurrentSince Oct 9, 2024 Accepting new patients
Thacker & Thompson CurrentSince Aug 18, 1997 Accepting new patients

Locations

130 Hawthorne Park
Athens, GA 30606
Phone (706) 227-2700

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

3660 Howell Ferry Rd
Duluth, GA 30096
Phone (770) 363-7013

8256 Main St
Woodstock, GA 30188
Phone (404) 882-3765

Interoperability endpoints

  • Direct secure messaging: annette.bernard.1@30437.direct.athenahealth.com
  • Direct secure messaging: abernard@ttandb.directbygreenway.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 5

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831232024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 RANKIN ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082920",
            "telephone_number": "404-874-3102",
            "fax_number": "404-874-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RANKIN ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082920",
            "telephone_number": "404-874-3102",
            "fax_number": "404-874-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ANNETTE",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "36102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.