The Bortolazzo Group, LLC
NPI 1801965082 · Emergency Medicine Physician · Austell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Bortolazzo Group, LLC is a Emergency Medicine Physician organization in Austell, GA (NPI 1801965082).
Provider details
- NPI number
- 1801965082
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Larsen, Director of Credentialing(770) 874-5400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 8954 Hospital DrDouglasville, GA 30134-2272Phone: (770) 949-1500
- 2518 Jimmy Lee Smith PkwyHiram, GA 30141-2068Phone: (470) 644-7000
- 677 Church St NeMarietta, GA 30060-1101Phone: (770) 793-5000
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Frequently asked questions
- What is The Bortolazzo Group, LLC's NPI number?
- The Bortolazzo Group, LLC's National Provider Identifier (NPI) is 1801965082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Bortolazzo Group, LLC?
- The Bortolazzo Group, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is The Bortolazzo Group, LLC located?
- The Bortolazzo Group, LLC's practice location on file with NPPES is 3950 Austell Rd, Austell, GA 30106-1121.
- What is The Bortolazzo Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Bortolazzo Group, LLC is (770) 732-4000.
- Does The Bortolazzo Group, LLC accept Medicare?
- The Bortolazzo Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Bortolazzo Group, LLC?
- The authorized official listed on The Bortolazzo Group, LLC's NPPES record is Kim Larsen, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Bortolazzo Group, LLC's NPI active?
- Yes — The Bortolazzo Group, LLC's NPI (1801965082) is active in the NPPES registry as of the last update on 2020-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.