Individual provider Active NPI

Barbara Lopes Cardozo, MD, MPH

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1972839371
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
045542 Issued in GA
Practice address
2500 Century Blvd
Mailstop V 25-1
Atlanta, GA 30345
Phone
(404) 498-0428
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 045542 GA Primary

Addresses

Primary practice location

2500 Century Blvd
Mailstop V 25-1
Atlanta, GA 30345

Mailing address

112 Hibernia Ave
Decatur, GA 30030-2947
Phone (404) 229-2146

Other names 1

  • Dr. Barbara Lopes Cardozo Other name

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
I20181105000615 GA Practitioner - Psychiatry 1153674353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045542GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Psychiatry CurrentSince Sep 13, 2018 Accepting new patients

Locations

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1972839371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HIBERNIA AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302947",
            "telephone_number": "404-229-2146",
            "fax_number": "404-229-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CENTURY BLVD",
            "address_2": "MAILSTOP V 25-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30345",
            "telephone_number": "404-498-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES CARDOZO",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "045542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "LOPES CARDOZO",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.