MARY E. BERGH MD NPI 1003802588

Internal Medicine (Cardiovascular Disease) in Atlanta, GA

Individual Female Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Years Experience 30

About MARY BERGH

Mary Bergh is a provider established in Atlanta, Georgia and her medical specialization is internal medicine with more than 30 years of experience. The NPI number of Mary Bergh is 1003802588 and was assigned on September 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 41726 (GA). The provider is registered as an individual and her NPI record was last updated one year ago. Mary Bergh is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003802588

Provider Name MARY E. BERGH MD
Provider Location Address980 JOHNSON FERRY RD STE 520 ATLANTA, GA 30342
Provider Mailing Address755 WALTHER RD LAWRENCEVILLE, GA 30045
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2005
Last Update Date02-26-2018

Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.41726
License StateGA
Taxonomy DescriptionAn 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.

Business Address

MARY E. BERGH MD
980 JOHNSON FERRY RD STE 520
ATLANTA, GA
ZIP 30342
Phone: (404) 303-3320
Fax: (404) 303-3464

Get Directions

Mailing Address

MARY E. BERGH MD
755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 252-0399
Fax: (770) 822-5389

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7719977586
PECOS Enrollment IDI20040513001260
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 591Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 524Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 214Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 200Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 178Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 76Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 73Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
NORTHSIDE HOSPITAL110161
SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC110082

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology41726GANo

Taxonomy Description: a nuclear medicine physician who specializes in nuclear cardiology.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00685176AMEDICAID (05)GA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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