Organization Active NPI

Richard a. Waldman, M.D., P.C.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1952749657
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
048198 Issued in GA
Legal business name
RICHARD A. WALDMAN, M.D., P.C.
Practice address
30 Lenox Pointe NE Ste a
Atlanta, GA 30324-3177
Phone
(404) 841-0641
Fax
(404) 365-9397
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Richard A. Waldman, M.D.NPI 1699891432
Title
President
Phone
(404) 841-0641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 048198 GA Primary

Addresses

Primary practice location

30 Lenox Pointe NE Ste a
Atlanta, GA 30324-3177

Mailing address

30 Lenox Pointe NE Ste a
Atlanta, GA 30324-3177
Phone (404) 841-0641

Other identifiers 1

IdentifierTypeStateIssuer
10034824MedicaidGA

Other names 1

  • Richard A. Waldman, M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130628000391 GA Part B Supplier - Clinic/Group Practice 9335389196 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

30 Lenox Pointe NE
Ste A
Atlanta, GA 30324
Phone (404) 213-0685

2999 Piedmont Rd NE
Ste B
Atlanta, GA 30305
Phone (404) 841-0641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1952749657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243177",
            "telephone_number": "404-841-0641",
            "fax_number": "404-365-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243177",
            "telephone_number": "404-841-0641",
            "fax_number": "404-365-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. WALDMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-841-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "048198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10034824",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard A. Waldman, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.