Individual provider Active NPI

Joanne So, DO

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1912467358
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93269 Issued in GA
Practice address
764 Memorial Dr SE Ste 106
Atlanta, GA 30316-1573
Phone
(770) 783-1414
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93269 GA Primary

Addresses

Primary practice location

764 Memorial Dr SE Ste 106
Atlanta, GA 30316-1573

Mailing address

764 Memorial Dr SE Ste 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

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
I20230130000949 GA Practitioner - Family Practice 0143554097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93269GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Nov 1, 2022 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1000 Northside Dr NW
Ste 1300
Atlanta, GA 30318
Phone (470) 730-4646

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

764 Memorial Dr SE
Ste 106
Atlanta, GA 30316
Phone (770) 783-1414

2900 Peachtree Rd NW
Atlanta, GA 30305
Phone (404) 848-0336

2900 Peachtree Rd NW
Ste 301
Atlanta, GA 30305
Phone (404) 869-5551

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

Interoperability endpoints

  • Direct secure messaging: joanne.so.1@33029.direct.athenahealth.com

Organizations & group practices 3

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1912467358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "770-783-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "770-783-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "JOANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "93269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.