Individual provider Active NPI

Juan L. Rodriguez-Ramos, MD

  • Allergy & Immunology Physician
  • Austell, GA
National Provider Identifier
1891801528
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
95169 Issued in GA
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

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
173029301MedicaidTX
173029302MedicaidTX

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95169GAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA Allergy & Immunology CurrentSince Nov 16, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.