Individual provider Active NPI

Judith J. Dennis, M.D.

  • Emergency Medicine Physician
  • Roswell, GA
National Provider Identifier
1972659019
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33068 Issued in GA
Practice address
660 W Crossville Rd
Suite 110
Roswell, GA 30075-7525
Phone
(770) 992-4700
Fax
(770) 992-4700
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 33068 GA Primary

Addresses

Primary practice location

660 W Crossville Rd
Suite 110
Roswell, GA 30075-7525

Mailing address

660 W Crossville Rd
Suite 110
Roswell, GA 30075-7525
Phone (770) 992-4700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000633 GA Practitioner - Emergency Medicine 8426032087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

13081 Hwy 9 N
Alpharetta, GA 30004-5150
Phone (770) 521-6690

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Sep 25, 2024 Accepting new patients
Health Choice Urgent Care, LLC CurrentSince Aug 30, 2020 Accepting new patients
Health Choice Urgent Care, LLC CurrentSince Aug 30, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Morningside Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Cherokee Emergency Services, LLC Past Accepting new patients
Nes of Florida, Inc. Emergency Medicine Past Accepting new patients
Smyrna Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

2690 Hamilton Mill Rd
Ste 100
Buford, GA 30519
Phone (470) 326-7300

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

660 W Crossville Rd
Ste 110
Roswell, GA 30075
Phone (770) 649-0711

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1972659019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W CROSSVILLE RD",
            "address_2": "SUITE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757525",
            "telephone_number": "770-992-4700",
            "fax_number": "770-992-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W CROSSVILLE RD",
            "address_2": "SUITE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757525",
            "telephone_number": "770-992-4700",
            "fax_number": "770-992-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JUDITH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "33068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.