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DR. BINIAM TSEGAY
NPI 1912347154
Dentist - General Practice in Atlanta, GA

Active since July 02, 2013PECOS Enrolled
2484 BRIARCLIFF RD NE STE 29, ATLANTA, GA 30329(404) 315-7375 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2019, Nov 7, 2018 (2 updates tracked since 2018).

About Dr. Biniam Tsegay NPPES

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

DR. BINIAM TSEGAY (NPI 1912347154) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DN015329) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1912347154
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BINIAM TSEGAY
Location Address2484 BRIARCLIFF RD NE STE 29Atlanta, GA 30329-3011
Mailing Address944 21st Ave N Apt 407Nashville, TN 37208-3449
Phone(404) 315-7375
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
✔ NPI 1912347154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN015329
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DN015329 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2484 BRIARCLIFF RD NE STE 29, Atlanta, GA 30329
Open in Google Maps ↗

Secondary Practice Location 1

Location 14805 Briarc Rd NEAtlanta, GA 30345-2767 · Phone (407) 580-9990

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Biniam Tsegay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MALCOLM AARON GOSSETT D.M.D
Dentist
2484 BRIARCLIFF RD NE STE 29
ATLANTA, GA 30329
Dekalb County (404) 315-7385
DR. ARTI GAUR LAMBA DDS
Dentist (General Practice)
2484 BRIARCLIFF RD NE STE 29
ATLANTA, GA 30329
Dekalb County (404) 315-7375
J SIMPSON LLC
Dentist (General Practice)
2484 BRIARCLIFF RD NE STE 29
ATLANTA, GA 30329
Dekalb County (404) 232-7411

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 Biniam Tsegay's NPI number?

The NPI number for Biniam Tsegay is 1912347154. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Biniam Tsegay located?

Biniam Tsegay practices at 2484 Briarcliff Rd NE Ste 29, Atlanta, GA 30329. The listed phone number is (404) 315-7375.

What is Biniam Tsegay's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Biniam Tsegay enrolled in Medicare?

Yes. Biniam Tsegay is registered in the Medicare PECOS enrollment system.

What insurance does Biniam Tsegay accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Biniam Tsegay 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 Biniam Tsegay was last updated on May 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.