| Mr John C Lipman, MD | |
| 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | |
| (770) 953-2600 | |
| (770) 953-2602 | 
| Full Name | Mr John C Lipman | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Vascular & Interventional Radiology | 
| Location | 3670 Highlands Pkwy Se, Smyrna, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124096219 | NPI | - | NPPES | 
| 000468905Q | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 034012 (Georgia) | Secondary | 
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 034012 (Georgia) | Primary | 
| Entity Name | Atlanta Interventional Institute Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891763140 PECOS PAC ID: 5193782845 Enrollment ID: O20041214000595 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr John C Lipman, MD 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 Ph: (770) 953-2600 | Mr John C Lipman, MD 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 Ph: (770) 953-2600 | 
| Barbara B Waters, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
| Amanda F Bauer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
| Kenneth J Gargan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
| Emeka S Oraka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
| Ashford Mcallister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
| Almass N Welji, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |