Active NPI 1104826791 Individual Practitioner Male Practitioner

Dr. Ramsay Li-Ping Kuo , MD

Urology • Venice, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ramsay Kuo, MD is a certified Urology practicing in Venice, FL. With approximately 29 years of clinical experience since graduating from Duke University School Of Medicine in 1997, Dr. Kuo delivers high-quality medical care to the local community at 425 COMMERCIAL CT STE A.

Dr. Kuo is affiliated with Smh Physician Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 Commercial Ct Ste A

Venice, FL 342921642

Telephone 9412612700

Fax 9412610918

Associated Practice Facility / Clinic

🏢 Smh Physician Services Inc Facility NPI 1346295292

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Venice, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -3.8 yrs vs City Avg

City Avg: 32.8 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Venice, FL (1082 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kuo (29 Years) 29 Yrs

Venice Specialty Average (32.8 Years) 32.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,500	12	$10.00	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	954	623	$151.00	$87.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	504	356	$219.00	$124.15
81003 Automated urinalysis test	281	222	$6.00	$2.19
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	220	176	$33.00	$16.06
51798 Ultrasound measurement of bladder capacity after voiding	210	161	$41.00	$10.51
52000 Diagnostic exam of bladder and urethra using an endoscope	141	126	$454.00	$225.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$333.00	$162.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	102	$91.00	$54.59
76770 Complete ultrasound scan behind abdominal cavity	80	75	$235.00	$102.22
74420 Imaging of urinary tract	59	39	$51.00	$23.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	46	$283.00	$128.39
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	52	52	$1912.00	$814.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	31	$148.00	$77.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	23	$1270.00	$136.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	31	$108.00	$51.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$294.00	$176.05
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	27	26	$726.00	$305.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$415.00	$168.70
52356 Crushing of stone of ureter with insertion of stent using an endoscope	24	23	$882.00	$399.99
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	15	$637.00	$129.35
76872 Ultrasound scan of pelvic region through rectum	14	14	$69.00	$31.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$217.00	$101.19
55700 Biopsy of prostate gland	14	14	$506.00	$128.51
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	13	13	$409.00	$123.52
52287 Exam with injections of chemical for destruction of bladder using an endoscope	12	12	$637.00	$369.63
52276 Incision of the bladder canal (urethra) using an endoscope	12	12	$560.00	$249.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$213.00	$115.57
52204 Biopsy of the bladder using an endoscope	11	11	$769.00	$87.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,065	15	$10.00	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,003	674	$151.00	$88.14
81003 Automated urinalysis test	485	379	$6.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	332	$219.00	$124.98
51798 Ultrasound measurement of bladder capacity after voiding	385	295	$37.88	$10.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	215	215	$333.00	$164.31
52000 Diagnostic exam of bladder and urethra using an endoscope	145	129	$454.00	$232.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	91	$91.00	$54.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$217.00	$110.75
74420 Imaging of urinary tract	46	40	$51.00	$23.53
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	39	39	$1891.13	$822.11
51700 Simple bladder irrigation and/or instillation	38	12	$190.00	$74.13
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	28	28	$726.00	$302.06
55700 Biopsy of prostate gland	28	28	$506.00	$129.66
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	26	$882.00	$396.95
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	26	26	$620.00	$350.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	21	$148.00	$78.71
51797 Insertion of device into abdomen with pressure and urine flow rate study	26	26	$374.00	$184.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$294.00	$175.79
76872 Ultrasound scan of pelvic region through rectum	25	25	$119.68	$31.52
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	25	25	$367.52	$31.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$283.00	$129.62
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	16	$637.00	$379.34
51702 Simple insertion of temporary bladder tube	19	12	$234.00	$59.72
51741 Electronic assessment of bladder emptying	19	19	$157.00	$7.02
99442 Telephone medical discussion with physician, 11-20 minutes	18	17	$158.00	$88.38
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1270.00	$122.21
76770 Complete ultrasound scan behind abdominal cavity	12	12	$235.00	$104.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,800	12	$6.00	$2.80
J1644 Injection, heparin sodium, per 1000 units	1,265	14	$1.00	$0.24
99213 Established patient office or other outpatient visit, typically 15 minutes	890	570	$151.00	$91.19
81003 Automated urinalysis test	754	569	$6.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	488	344	$218.27	$127.65
51798 Ultrasound measurement of bladder capacity after voiding	421	310	$35.00	$10.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	299	$333.00	$169.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	192	192	$217.00	$113.87
52000 Diagnostic exam of bladder and urethra using an endoscope	189	177	$454.00	$245.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	95	$91.00	$56.81
51700 Simple bladder irrigation and/or instillation	91	22	$190.00	$77.04
J3490 Unclassified drugs	74	14	$336.22	$187.43
51720 Instillation of anti-cancer drug into bladder	73	18	$212.71	$87.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	14	$15.00	$1.13
74420 Imaging of urinary tract	35	32	$51.00	$24.94
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	33	33	$1859.30	$848.37
55700 Biopsy of prostate gland	32	32	$506.00	$132.05
76872 Ultrasound scan of pelvic region through rectum	32	32	$250.00	$32.42
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	30	30	$620.00	$369.93
51797 Insertion of device into abdomen with pressure and urine flow rate study	30	30	$374.00	$196.49
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$361.38	$32.61
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	25	$726.00	$321.73
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	23	$882.00	$412.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$148.00	$71.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$283.00	$136.59
81002 Urinalysis, manual test	17	17	$16.00	$3.48
51741 Electronic assessment of bladder emptying	16	16	$152.63	$7.15
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	11	$637.00	$398.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$294.00	$182.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	556	445	$6.37	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	312	$213.79	$127.79
99213 Established patient office or other outpatient visit, typically 15 minutes	303	274	$145.12	$91.05
81002 Urinalysis, manual test	223	202	$8.68	$3.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$330.67	$170.35
51798 Ultrasound measurement of bladder capacity after voiding	103	88	$35.95	$10.00
52000 Diagnostic exam of bladder and urethra using an endoscope	67	64	$374.60	$234.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	48	$85.84	$55.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$216.57	$114.06
51700 Simple bladder irrigation and/or instillation	25	18	$166.96	$73.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	22	$143.25	$71.45
74420 Imaging of urinary tract	22	17	$50.18	$25.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$1063.10	$128.44
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$506.29	$312.77
99218 Hospital observation care typically 30 minutes	17	16	$196.00	$97.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$271.80	$135.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$842.71	$416.69
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$137.69	$90.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$284.83	$180.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	516	364	$7.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	225	$210.00	$106.16
99213 Established patient office or other outpatient visit, typically 15 minutes	216	182	$142.00	$73.33
51798 Ultrasound measurement of bladder capacity after voiding	113	76	$37.00	$9.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	56	$85.00	$44.72
52000 Diagnostic exam of bladder and urethra using an endoscope	45	42	$321.00	$208.23
99441 Telephone medical discussion with physician, 5-10 minutes	44	42	$75.61	$41.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	28	$142.00	$70.41
99442 Telephone medical discussion with physician, 11-20 minutes	35	32	$124.31	$73.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	19	$77.00	$39.14
74420 Imaging of urinary tract	24	17	$50.00	$25.66
52356 Crushing of stone of ureter with insertion of stent using an endoscope	24	22	$849.33	$382.28
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	22	$477.00	$276.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$269.00	$137.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$283.00	$143.94
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	17	17	$1621.71	$834.20
51703 Complicated insertion of bladder tube	16	11	$245.00	$133.30
51700 Simple bladder irrigation and/or instillation	15	11	$142.00	$69.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$320.00	$162.09
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$202.17	$107.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	683	456	$7.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	249	$210.00	$103.81
99213 Established patient office or other outpatient visit, typically 15 minutes	282	234	$142.00	$71.58
51798 Ultrasound measurement of bladder capacity after voiding	101	71	$37.00	$11.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	74	$85.00	$43.41
52000 Diagnostic exam of bladder and urethra using an endoscope	52	46	$321.00	$178.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	33	$77.00	$38.49
74420 Imaging of urinary tract	39	27	$49.23	$25.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$320.00	$154.59
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	26	$477.00	$263.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	20	$39.00	$20.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	20	$1022.52	$131.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	20	$142.00	$71.20
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$832.00	$397.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$269.00	$133.77
51700 Simple bladder irrigation and/or instillation	14	12	$142.00	$70.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$283.00	$141.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	381	284	$7.00	$2.69
81002 Urinalysis, manual test	302	235	$8.00	$3.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	244	$210.00	$102.90
99213 Established patient office or other outpatient visit, typically 15 minutes	295	230	$142.00	$69.11
51798 Ultrasound measurement of bladder capacity after voiding	75	54	$37.00	$15.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	59	$85.00	$42.08
52000 Diagnostic exam of bladder and urethra using an endoscope	56	48	$321.00	$160.06
74420 Imaging of urinary tract	25	18	$43.16	$17.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$320.00	$158.33
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	23	$477.00	$227.36
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	19	$873.60	$397.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$142.00	$70.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	17	$77.00	$37.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	13	$39.00	$20.72
51702 Simple insertion of temporary bladder tube	16	14	$123.00	$61.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$269.00	$132.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$283.00	$140.33
51700 Simple bladder irrigation and/or instillation	13	11	$142.00	$71.31
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	12	12	$1641.00	$808.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	627	403	$9.05	$3.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	252	$235.61	$102.67
99213 Established patient office or other outpatient visit, typically 15 minutes	240	193	$159.79	$67.64
76775 Limited ultrasound scan behind abdominal cavity	114	106	$163.70	$52.40
51798 Ultrasound measurement of bladder capacity after voiding	71	54	$56.52	$17.47
52000 Diagnostic exam of bladder and urethra using an endoscope	66	53	$368.89	$156.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$78.82	$41.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$354.67	$153.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$255.00	$132.35
74420 Imaging of urinary tract	22	16	$217.18	$17.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	19	$135.67	$66.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	15	$39.80	$19.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	11	$1016.25	$124.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$103.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$252.71	$129.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$72.85	$37.98
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$504.00	$213.79

Medical Specialties & State Licenses

CMS Verified: 2023-09-26

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME151859

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License NY 243836

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200519560A (IN)

Medicaid State Provider ID

111271500 (FL)

Hospital & Practice Group Affiliations

Smh Physician Services Inc

425 Commercial Ct, Venice, FL 342921642

Phone: 9412612700

Secondary Practice Locations

4 Executive Park Dr Ste 2

Albany, NY 122033717

Phone: 5184897494

319 S Manning Blvd, Suite 106

Albany, NY 122081742

Phone: 5184381019

1921 Waldemere St Ste 310

Sarasota, FL 342392941

Phone: 9419175400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Kaitlyn Tankersley , PA-C

Physician Assistant

NPI 1497594733

Physician Assistant (Certified)

Dr. Michael Strickland , DO

Urology

NPI 1528033537

Doctor of Osteopathic Medicine (D.O.)

Billie Caruso , PA

Physician Assistant

NPI 1770399974

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location September 26, 2023

Registered at 425 COMMERCIAL CT STE A, VENICE, FL 342921642 (Tel: 9412612700)

📍

Updated Practice Location January 19, 2022

Registered at 1921 WALDEMERE ST STE 310, SARASOTA, FL 342392941 (Tel: 9419175400)

📍

Updated Business Mailing Address January 19, 2022

Registered at PO BOX 947407, ATLANTA, GA 303947407 (Tel: 9419172600)

📍

Updated Practice Location August 17, 2020

Registered at 4 EXECUTIVE PARK DR STE 2, ALBANY, NY 122033717 (Tel: 5184897494)

📍

Updated Business Mailing Address August 17, 2020

Registered at PO BOX 14890, ALBANY, NY 122124890

✅

NPI Profile Active March 30, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2011

Registered at 319 S MANNING BLVD, SUITE 106, ALBANY, NY 122081742 (Tel: 5184381019)

📍

Updated Business Mailing Address March 30, 2011

Registered at 319 S MANNING BLVD, SUITE 106, ALBANY, NY 122081742 (Tel: 5184381019)

👤

Provider Name / Credentials Updated March 30, 2011

Recorded as RAMSAY KUO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2011

Urology (License #243836 in NY)

🟢

Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104826791

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2005

Last Update: September 26, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 947407

Atlanta, GA 303947407

Phone: 9419172600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.