Individual provider Active NPI

Daryl Rampersad, M.D.

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1871938969
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
074327 Issued in GA
Practice address
3400 Old Milton Pkwy Ste A130
Alpharetta, GA 30005-4417
Phone
(770) 664-8898
Fax
(770) 772-4377
NPI assigned
May 3, 2013
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281021 NY
Family Medicine Physician 207Q00000X 074327 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste A130
Alpharetta, GA 30005-4417

Mailing address

615 Beaver Ruin Rd NW
Suite B
Lilburn, GA 30047-3401
Phone (770) 935-8616

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address darylrampersad@pnfm.allscriptsdirect.net Direct
Direct Messaging Address NFMUC_EastCobb@Northside.gwaydirect.com Direct

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
I20151109002164 GA Practitioner - Family Practice 7113237801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

684 Sixes Rd
125A
Holly Springs, GA 30115-8758
Phone (678) 426-5450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
074327GAMDFamily Medicine Physician
281021NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Urgent Care Holding, LLC CurrentSince May 4, 2018 Accepting new patients
G Craig Heigerick DO PC Family Medicine PastSince Aug 24, 2015 Accepting new patients
Perimeter North Family Practice LLC Family Medicine PastSince Aug 5, 2012 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine Past Accepting new patients

Locations

610 Peachtree Pkwy
Ste 100
Cumming, GA 30041
Phone (678) 513-5260

81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000

684 Sixes Rd
#125A
Holly Springs, GA 30115
Phone (678) 426-5450

4800 Olde Towne Pkwy
Ste 150A
Marietta, GA 30068
Phone (770) 509-1025

11685 Alpharetta Hwy
Ste 150A
Roswell, GA 30076
Phone (770) 555-5555

Interoperability endpoints

  • Direct secure messaging: darylrampersad@pnfm.allscriptsdirect.net

Organizations & group practices 4

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1871938969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BEAVER RUIN RD NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-935-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE A130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054417",
            "telephone_number": "770-664-8898",
            "fax_number": "770-772-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPERSAD",
        "first_name": "DARYL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "074327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darylrampersad@pnfm.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3400 Old Milton Pkwy Ste A130",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300054417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NFMUC_EastCobb@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3400 Old Milton Pkwy Ste A130",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300054417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.