Active NPI
Juvenal Bermudez, PA
- Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10066
- Practice address
- 275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740 - Phone
- (404) 350-0009
- Fax
- (404) 350-0009
- NPI assigned
- Jan 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 10066 | GA | |
| Physician Assistant | 363A00000X | 10066 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Mailing address
275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Phone (404) 350-0009
Other practice location 1
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5478
Other practice location 2
2005 Mount Zion Rd
Morrow, GA 30260-3313
Phone (770) 919-5250
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10066 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Multispecialty, LLC | Current | Accepting new patients | |
| Peachtree Immediate Care UC, LLC | Past | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- Urgent Care Clinic/Center
- Decatur, GA
- NPI 1235573841
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1942899760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091740",
"telephone_number": "404-350-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091740",
"telephone_number": "404-350-0009",
"fax_number": "404-350-0009"
}
],
"practiceLocations": [
{
"address_1": "1968 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091281",
"country_code": "US",
"telephone_number": "404-605-5478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 Mount Zion Rd",
"address_purpose": "LOCATION",
"city": "Morrow",
"state": "GA",
"postal_code": "302603313",
"country_code": "US",
"telephone_number": "770-919-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "JUVENAL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-15",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "10066",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.