Active NPI
Juan L. Rodriguez-Ramos, MD
- Allergy & Immunology Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 95169
- Practice address
- 1620 Mulkey Rd Ste 100
Austell, GA 30106-1171 - Phone
- (770) 948-3774
- Fax
- (770) 739-9609
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | M1323 | TX | |
| Allergy & Immunology Physician | 207K00000X | 95169 | GA | Primary |
Addresses
Primary practice location
1620 Mulkey Rd Ste 100
Austell, GA 30106-1171
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
Other practice location 1
3816 S 1st St
Austin, TX 78704-7048
Phone (512) 443-1311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173029301 | Medicaid | TX | |
| 173029302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95169 | GA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Allergy & Asthma Clinic PA | Allergy & Immunology | Current | Accepting new patients |
Locations
2300 Henderson Mill Rd NE
Ste 230
Atlanta, GA 30345
Phone (770) 491-9300
2045 Peachtree Rd NE
Ste 800
Atlanta, GA 30309
Phone (404) 351-5711
1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774
100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000
2089 Teron Trce
Ste 250
Dacula, GA 30019
Phone (678) 801-4838
4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (678) 434-0374
1240 Highway 54 W
Ste 310
Fayetteville, GA 30214
Phone (770) 461-6400
950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969
6300 Hospital Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 495-6258
114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723
600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030
1519 Johnson Ferry Rd
Ste 200
Marietta, GA 30062
Phone (770) 973-5578
1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252
790 Church St NE
Ste 150
Marietta, GA 30060
Phone (770) 422-4268
14 Riverbend Dr SW
Rome, GA 30161
Phone (706) 234-0094
1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807
500 Northridge Rd
Ste 400
Sandy Springs, GA 30350
Phone (470) 508-5343
800 Mount Vernon Hwy NE
Ste 390
Sandy Springs, GA 30328
Phone (404) 252-4207
1780 Presidential Cir
#200
Snellville, GA 30078
Phone (678) 280-0202
830 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281
Phone (478) 746-2888
1272 Virgil Langford Rd
Ste 202
Watkinsville, GA 30677
Phone (770) 880-6955
100 Stoneforest Dr
Ste 220
Woodstock, GA 30189
Phone (770) 924-0096
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBFBA
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.
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1598796195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1891801528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686",
"fax_number": "512-421-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 MULKEY RD STE 100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061171",
"telephone_number": "770-948-3774",
"fax_number": "770-739-9609"
}
],
"practiceLocations": [
{
"address_1": "3816 S 1st St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787047048",
"country_code": "US",
"telephone_number": "512-443-1311",
"fax_number": "512-448-8261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ-RAMOS",
"first_name": "JUAN",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "M1323",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "95169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173029301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173029302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.