Individual provider Active NPI

Ariana Dawn Buchanan, MD

  • Allergy Physician
  • Carrollton, GA
National Provider Identifier
1922026525
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
048323 Issued in GA
Practice address
150 Clinic Avenue
Suite 102
Carrollton, GA 30117
Phone
(404) 351-7520
Fax
(404) 355-2048
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 048323 GA Primary

Addresses

Primary practice location

150 Clinic Avenue
Suite 102
Carrollton, GA 30117

Mailing address

1800 Peachtree St. NW
Suite 720
Atlanta, GA 30309-2511
Phone (404) 351-7520

Other identifiers 1

IdentifierTypeStateIssuer
922350658AMedicaidGA

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
I20051107000887 GA Practitioner - Allergy/Immunology 2466470513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Allergy and Asthma Clinic PCGroup PAC ID 2264458132, 5 clinicians

Practice addresses (Care Compare)

1800 Peachtree St NW
Suite 720
Atlanta, GA 30309-2511
Phone (404) 351-7520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Allergy and Asthma Clinic PC Allergy CurrentSince Sep 5, 2005 Accepting new patients

Locations

1800 Peachtree St NW
Ste 720
Atlanta, GA 30309
Phone (404) 351-7520

150 Clinic Ave
Ste 102
Carrollton, GA 30117
Phone (404) 351-7520

820 Ebenezer Church Rd
Ste 101
Sharpsburg, GA 30277
Phone (404) 351-7520

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1922026525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST. NW",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092511",
            "telephone_number": "404-351-7520",
            "fax_number": "404-355-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLINIC AVENUE",
            "address_2": "SUITE 102",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "404-351-7520",
            "fax_number": "404-355-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "ARIANA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "048323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922350658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.