Active NPI
Adrienne Simone Berard, M.D.
- Internal Medicine Physician
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039288
- Practice address
- 101 Doctors Dr
Carrollton, GA 30117-4486 - Phone
- (770) 834-6208
- Fax
- (770) 830-7620
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 039288 | GA | Primary |
Addresses
Primary practice location
101 Doctors Dr
Carrollton, GA 30117-4486
Mailing address
101 Doctors Dr
Carrollton, GA 30117-4486
Phone (770) 834-6208
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100215000294 | GA | Practitioner - Internal Medicine | 3577607589 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- West Georgia Internal Medicine PC
Practice addresses (Care Compare)
101 Doctors Dr
Carrollton, GA 30117-4486
Phone (770) 834-6208
706 Dixie St
Suite 300
Carrollton, GA 30117-3819
Hospital & facility affiliations
- Tanner Home Health Services
- Centerwell Home Health
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
- Higgins General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039288 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Georgia Internal Medicine PC | Internal Medicine | Current | Accepting new patients |
Locations
101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863
706 Dixie St
Ste 300
Carrollton, GA 30117
Phone (770) 834-6208
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.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1194793307
GA, Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Peachtree City, GA
- NPI 1730119538
-
- Home Health Agency
- Carrollton, GA
- NPI 1457376386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1972594166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DOCTORS DR",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174486",
"telephone_number": "770-834-6208",
"fax_number": "770-830-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DOCTORS DR",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174486",
"telephone_number": "770-834-6208",
"fax_number": "770-830-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARD",
"first_name": "ADRIENNE",
"middle_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "039288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.