David O. Bidot, M.D.
Individual provider Active NPI Family Medicine Physician · Chamblee, GA
NPI 1912198664 · NPPES record last updated Aug 7, 2007
Key facts
- NPI
- 1912198664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 023566 (GA)
- Practice address
- 3386 Shallowford Rd NE
Chamblee, GA 30341-3513 - Phone
- (787) 525-6580
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250530003004 | GA | Practitioner - Family Practice | 3476466939 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023566 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Only One Hub | Family Medicine | Current |
Accepting new patients |
Locations
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609
100 W High St
Ebensburg, PA 15931
Phone (724) 317-1070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 023566 | GA | Yes |
Addresses
Primary practice location
3386 Shallowford Rd NE
Chamblee, GA 30341-3513
Mailing address
PO Box 80808
Atlanta, GA 30366-0808
Phone (787) 525-6580
Other providers in Chamblee, GA
- Ariana Barnett
- Gabriela Isabel Bautista
- Kyoon Chung Begaye
- Victor Berkovich
- Brent Bertschinger
- Shawn Gene Bisacco
- Sarah Blackwell
- Phyllisa Dawn Blake
- Dillon Blankenship
- Shannon M Blankenship
All providers in Chamblee, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.