Active NPI
Roza K.Adamczyk,MD,PC
- Neurology Physician
- Griffin, GA
National Provider Identifier
1932252301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ROZA K.ADAMCZYK,MD,PC
- Practice address
- 522 W Solomon St
Griffin, GA 30223-2834 - Phone
- (770) 227-1102
- Fax
- (770) 227-3082
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Luba K Aronson
- Title
- Office Manager
- Phone
- (770) 227-1102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
522 W Solomon St
Griffin, GA 30223-2834
Mailing address
522 W Solomon St
Griffin, GA 30223-2834
Phone (770) 227-1102
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10058864 | Other | GA | AMERIGROUP - MEDICAID |
| 130022404 | Other | GA | PALMETTO MCARE RAILROAD |
| DG4707 | Other | GA | PALMETTO MCARE RAILROAD |
| 00347234G | Medicaid | GA | |
| 1020061 | Other | GA | CIGNA |
| 11363 | Other | GA | UNITED HEALTHCARE |
| 21003404108 | Other | GA | BEECHSTREET |
| 328469 | Other | GA | WELLCARE - MEDICAID |
| 4567388 | Other | GA | AETNA - PPO |
| 00347234B | Medicaid | GA | |
| 117715 | Other | GA | PEACHSTATE HEALTHCARE |
| 2339303 | Other | GA | AETNA-HMO |
| 52239078001 | Other | GA | BLUE CROSS BLUE SHIELD |
| 52239078002 | Other | GA | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
522 W Solomon St
Griffin, GA 30223
Phone (770) 227-1102
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Neurology Physician
- Fayetteville, GA
- NPI 1225210925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1932252301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W SOLOMON ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302232834",
"telephone_number": "770-227-1102",
"fax_number": "770-227-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W SOLOMON ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302232834",
"telephone_number": "770-227-1102",
"fax_number": "770-227-3082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROZA K.ADAMCZYK,MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "ARONSON",
"authorized_official_first_name": "LUBA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-227-1102",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP - MEDICAID",
"identifier": "10058864",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MCARE RAILROAD",
"identifier": "130022404",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MCARE RAILROAD",
"identifier": "DG4707",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00347234G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1020061",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "11363",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "21003404108",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE - MEDICAID",
"identifier": "328469",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - PPO",
"identifier": "4567388",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00347234B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACHSTATE HEALTHCARE",
"identifier": "117715",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "2339303",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52239078001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52239078002",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.