Active NPI
Richard a. Waldman, M.D., P.C.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1952749657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 048198
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10034824 | Medicaid | GA |
Other names 1
- Richard A. Waldman, M.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1699891432
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.