MARY E. BERGH MD – NPI #1003802588
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MARY BERGH is a physician located in ATLANTA, GA. NPPES has assigned the NPI number 1003802588 to MARY BERGH on September 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MARY E. DONOGHUE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Oct 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY BERGH below.

NPI Profile for
MARY E. BERGH

NPI Number
1003802588
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY E. BERGH
Former Name: MARY E. DONOGHUE
Credentials
MD
Primary location
980 JOHNSON FERRY RD STE 520
ATLANTA, GA 30342-1637
Phone: (404) 303-3320 Fax: (404) 303-3464
Mailing address
755 WALTHER RD
LAWRENCEVILLE, GA 30045-8725
Phone: (770) 252-0399 Fax: (770) 822-5389
Sole Proprietor
No
Updated
Certification Date
Oct 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARY BERGH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA00685176A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 GA 41726
207UN0901X
- Nuclear Medicine / Nuclear Cardiology		 GA 41726

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT MESSAGING
Content Type
OTHER
Affiliation
N
Endpoint Location
980 JOHNSON FERRY RD STE 520,
ATLANTA, GA 77025-1669

Additional Information

Education
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE - Graduated 1990
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARY BERGH is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL
      1000 JOHNSON FERRY ROAD, NE
      ATLANTA, GA 30342
    • NORTHSIDE HOSPITAL FORSYTH
      1200 NORTHSIDE FORSYTH DRIVE
      CUMMING, GA 30041

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.