NPIMap

Individual provider Active NPI

Reden C Delgado, MD

  • Family Medicine Physician
  • Acworth, GA
National Provider Identifier
1881605152
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65957 Issued in GA
Practice address
4900 Ivey Rd NW Ste 1301
Acworth, GA 30101-4112
Phone
(770) 975-9077
Fax
(770) 790-4964
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 RD087681 MI
Family Medicine Physician 207Q00000X 65957 GA Primary

Addresses

Primary practice location

4900 Ivey Rd NW Ste 1301
Acworth, GA 30101-4112

Mailing address

2293 Rome Hwy
Rockmart, GA 30153-3577
Phone (770) 684-0350

Other practice location 1

2293 Rome Hwy
Rockmart, GA 30153
Phone (770) 684-0350

Other identifiers 1

IdentifierTypeStateIssuer
RD087681OtherMISTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdelgado341021@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000523 GA Practitioner - Family Practice 9830194372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Coosa Valley Home Health, an Amedisys Home health agency, Rome, GA, CCN 117041
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65957GAMDFamily Medicine Physician
RD087681MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jun 19, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 19, 2019 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
PMR Georgia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

4900 Ivey Rd NW
Ste 1301
Acworth, GA 30101
Phone (770) 974-4655

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

Interoperability endpoints

  • Direct secure messaging: reden.delgado@hca1.eclinicaldirectplus.com

Organizations & group practices 6

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 7

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1881605152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 ROME HWY",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301533577",
            "telephone_number": "770-684-0350",
            "fax_number": "770-684-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW STE 1301",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014112",
            "telephone_number": "770-975-9077",
            "fax_number": "770-790-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2293 Rome Hwy",
            "address_purpose": "LOCATION",
            "city": "Rockmart",
            "state": "GA",
            "postal_code": "30153",
            "country_code": "US",
            "telephone_number": "770-684-0350",
            "fax_number": "770-684-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "REDEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RD087681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "65957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RD087681",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdelgado341021@directwellstar.org",
            "affiliation": "N",
            "address_1": "4900 Ivey Rd NW Ste 1301",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.