JEFREY D LIEBERMAN MD (NPI# 1124209481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124209481 |
| Entity Type | Organization |
| Organization Name | JEFREY D LIEBERMAN MD |
| Practice Address |
2712 N Decatur Rd Decatur GA 30033-5910 |
| Practice Telephone | 4042964911 |
| Practice Fax Number | 4042961512 |
| Mailing Telephone | 4042964911 |
| Mailing Fax Number | 4042961512 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | MISS TONYA F HALEY (BILLING MANAGER) |
| Authorized Official Telephone | 4042964911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 031623 | GA | Managed Care Organizations |
| Street Address |
2712 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071002 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2712 N Decatur Rd, Decatur, GA 30033-5930 | 2005-11-22 |
| 1568706653 | Ferhana Najam | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2012-11-15 |
| 1871812917 | Sanford S Hartman, Md PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2010-05-28 |
| 1639300601 | Lisha Butler Davis | Physician Assistant | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2009-08-07 |
| 1164637401 | W. Hugh Spruell, Md, PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2007-05-11 |
| 1023183415 | Gary R Botstein Md | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2006-11-21 |
| 1003853177 | Gary Robert Botstein | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5930 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063852630 | Christy Latasha Fuller | Exclusive Provider Organization | 2288 Miriam Ln, Decatur, GA 30032-5551 | 2013-06-27 |
| 1538405683 | R&r Grouphomes Inc | Exclusive Provider Organization | 1502 Faye St Sw, 1502 Faye St Sw, Decatur, AL 35601-2731 | 2012-12-18 |
| 1063758282 | Montelissa Full Life Resources, Inc | Exclusive Provider Organization | 1008 Clarkview St Sw, Decatur, AL 35601-6204 | 2012-12-15 |
| 1871877159 | Skates-n-motion | Exclusive Provider Organization | 5878 Covington Hwy Ste E, Decatur, GA 30035-3745 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
| 1851830806 | Martinez Orthodontics, PC | Exclusive Provider Organization | 4469 Columbia Rd Ste B, Martinez, GA 30907-4573 | 2017-02-22 |
| 1467900191 | The 831 Company | Exclusive Provider Organization | 788 Hightower Rd, Macon, GA 31206-2240 | 2016-09-11 |
| 1992151567 | Cindys Childrens Charitable & Elderly Care Foundation Inc. | Exclusive Provider Organization | 1249 Kasandra Dr Se, Marietta, GA 30067-7713 | 2016-05-12 |
| 1275925711 | Briah Fashions LLC | Exclusive Provider Organization | 1215 Lionsgate Dr, Conyers, GA 30094-6106 | 2015-02-20 |
| 1992105258 | My Matrix, Incorporated | Exclusive Provider Organization | 2640 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-6101 | 2014-08-23 |
| 1356760318 | Specialized Therapy Solutions, LLC | Exclusive Provider Organization | 1494 Hampton View Ct, Marietta, GA 30008-4094 | 2014-04-07 |
| 1558787085 | Qura Woodbury | Exclusive Provider Organization | 464 Vinings Vintage Cir, Mableton, GA 30126-7207 | 2014-03-07 |
| 1285059006 | Brandy Schultz Cares | Exclusive Provider Organization | 1960 Morning Ln Nw, Acworth, GA 30102-7912 | 2014-03-03 |
| 1740604883 | Judin Lynch | Exclusive Provider Organization | 919 Koala Ct, Lawrenceville, GA 30043-7699 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.