BELTLINE BARIATRIC AND SURGICAL GROUP LLC
NPI 1700232865
Surgery in Atlanta, GA

Q: What is Beltline Bariatric And Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 09, 2016

371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305(470) 419-4380(470) 298-7736 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Feb 1, 2022, Mar 25, 2021 and 8 more (11 updates tracked since 2016).

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About Beltline Bariatric And Surgical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELTLINE BARIATRIC AND SURGICAL GROUP LLC (NPI 1700232865) is a healthcare organization registered as a surgery in Atlanta, Georgia and active in the NPI registry since May 2016. The organization maintains 2 additional practice locations and lists Diana Kapou Wong, Coo, as its authorized official.

NPPES Registry Identity

NPI1700232865

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameBELTLINE BARIATRIC AND SURGICAL GROUP LLC

Location Address371 E PACES FERRY RD NE STE 750Atlanta, GA 30305-2372

Mailing Address371 E Paces Ferry Rd Ne Ste 750Atlanta, GA 30305-2372 · (470) 419-4380 · Fax (470) 298-7736

Phone(470) 419-4380

Fax(470) 298-7736

Organization SubpartNo

Authorized OfficialDiana Kapou WongCoo · (770) 686-1366

Enumeration DateMay 9, 2016

Last NPPES UpdateNovember 1, 202311 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1700232865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X

371 E PACES FERRY RD NE STE 750, Atlanta, GA 30305

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Secondary Practice Locations 2

Location 1300 Bullsboro Dr Ste B-CNewnan, GA 30263-1680 · Phone (770) 683-3230 · Fax (470) 298-7732

Location 2550 Eagles Landing Pkwy Ste 204Stockbridge, GA 30281-9082 · Phone (678) 782-3866 · Fax (470) 298-7732

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beltline Bariatric And Surgical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Beltline Bariatric And Surgical Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Vishwanath Danthuluri, MD

General Surgery

NPI 1699118844

371 E PACES FERRY RD NE STE 750
Atlanta, GA 30305

(470) 419-4380

✔ PECOS✔ Accepts Medicare1.4 mi

Charles Procter, MD

General Surgery

NPI 1598780488

371 E PACES FERRY RD NE STE 750
Atlanta, GA 30305

(470) 419-4380

✔ PECOS✔ Accepts Medicare1.4 mi

Jennifer Robinson, NP-C

Nurse Practitioner

NPI 1790072601

371 E PACES FERRY RD NE STE 750
Atlanta, GA 30305

(770) 487-3200

✔ PECOS1.4 mi

Roger Eduardo, M.D.

General Surgery

NPI 1962792366

110 OAK HILL BLVD STE 100
Newnan, GA 30265

(470) 742-1832

✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beltline Bariatric And Surgical Group LLC's NPI number?

The NPI number for Beltline Bariatric And Surgical Group LLC is 1700232865. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Beltline Bariatric And Surgical Group LLC located?

Beltline Bariatric And Surgical Group LLC is located at 371 E Paces Ferry Rd NE Ste 750, Atlanta, GA 30305. The listed phone number is (470) 419-4380.

What is Beltline Bariatric And Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Beltline Bariatric And Surgical Group LLC enrolled in Medicare?

Yes. Beltline Bariatric And Surgical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beltline Bariatric And Surgical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Beltline Bariatric And Surgical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (3) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beltline Bariatric And Surgical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Beltline Bariatric And Surgical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beltline Bariatric And Surgical Group LLC was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.