Active NPI 1821001066 Individual Practitioner Male Practitioner

Dr. Siddharth A Patel , MD

Surgery - Vascular Surgery • Atlanta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Siddharth Patel, MD is a certified Surgery - Vascular Surgery practicing in Atlanta, GA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Patel delivers high-quality medical care to the local community at 980 JOHNSON FERRY RD.

Dr. Patel is affiliated with Northside Surgical Professional Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound of both sides of head and neck blood flow, established patient outpatient office visit, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

980 Johnson Ferry Rd
Ste 1040

Atlanta, GA 303421626

Telephone 7702923460

Fax 4043002317

Associated Practice Facility / Clinic

🏢 North Atlanta Eye Care, Llc Facility NPI 1528472354

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Atlanta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -5.2 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

42 Specialists

Practicing in Atlanta, GA (194 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (22 Years) 22 Yrs

Atlanta Specialty Average (27.2 Years) 27.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	271	256	$351.08	$110.87
99213 Established patient office or other outpatient visit, typically 15 minutes	143	134	$273.00	$89.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	97	89	$360.92	$115.01
93922 Ultrasound study of arm and leg arteries	93	82	$227.10	$60.60
93925 Ultrasound of leg arteries or artery grafts	77	70	$706.88	$227.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	77	76	$555.53	$173.36
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	74	69	$479.30	$141.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$386.00	$122.89
76937 Ultrasonic guidance for blood vessel access	51	37	$43.00	$13.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$503.00	$164.61
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	31	$100.00	$31.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$339.00	$110.12
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	28	28	$65.00	$20.29
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	27	26	$38.00	$11.87
75625 Radiological supervision and interpretation X-ray of abdominal aorta	18	18	$202.00	$65.91
93923 Complete ultrasound study of arm and leg arteries	16	16	$309.00	$85.90
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$448.75	$142.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$540.00	$177.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	290	282	$385.03	$116.82
99213 Established patient office or other outpatient visit, typically 15 minutes	127	118	$273.80	$89.17
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	111	107	$391.24	$118.52
93922 Ultrasound study of arm and leg arteries	78	70	$257.12	$66.50
93970 Ultrasound study of arm or leg veins with compression and maneuvers	68	67	$582.21	$178.74
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	66	65	$533.39	$146.72
93970 Ultrasound study of arm or leg veins with compression and maneuvers	59	58	$100.19	$32.70
93925 Ultrasound of leg arteries or artery grafts	55	51	$796.65	$236.23
76937 Ultrasonic guidance for blood vessel access	51	43	$43.31	$14.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$339.00	$111.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$386.18	$123.84
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	27	26	$63.78	$12.35
93926 Ultrasound of one leg arteries or artery grafts	26	25	$469.38	$122.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	20	20	$65.10	$21.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$503.40	$159.51
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	18	$196.79	$66.11
93990 Ultrasound of dialysis access	18	14	$515.00	$128.38
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	18	17	$234.17	$81.11
93880 Ultrasound of both sides of head and neck blood flow	14	14	$109.43	$37.74
93923 Complete ultrasound study of arm and leg arteries	13	13	$321.08	$84.75
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$629.75	$212.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$540.58	$177.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	285	274	$398.26	$109.87
99213 Established patient office or other outpatient visit, typically 15 minutes	110	105	$269.13	$90.29
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	91	83	$467.54	$121.96
93922 Ultrasound study of arm and leg arteries	77	65	$295.10	$65.89
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	72	68	$507.63	$123.34
93970 Ultrasound study of arm or leg veins with compression and maneuvers	59	58	$723.53	$174.83
76937 Ultrasonic guidance for blood vessel access	56	41	$45.00	$13.73
93925 Ultrasound of leg arteries or artery grafts	53	48	$917.83	$234.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$382.71	$127.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$338.41	$110.62
93970 Ultrasound study of arm or leg veins with compression and maneuvers	35	35	$101.00	$33.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	32	32	$66.00	$21.53
93990 Ultrasound of dialysis access	27	20	$639.00	$134.45
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	19	$155.00	$12.62
93926 Ultrasound of one leg arteries or artery grafts	20	19	$630.00	$129.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$505.56	$168.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	228	214	$481.53	$132.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	100	91	$472.00	$125.76
93970 Ultrasound study of arm or leg veins with compression and maneuvers	88	84	$786.13	$195.75
99213 Established patient office or other outpatient visit, typically 15 minutes	81	80	$226.22	$92.56
93922 Ultrasound study of arm and leg arteries	78	66	$306.19	$72.34
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	61	56	$619.05	$152.75
76937 Ultrasonic guidance for blood vessel access	55	40	$45.00	$13.96
93925 Ultrasound of leg arteries or artery grafts	44	40	$946.66	$255.55
93970 Ultrasound study of arm or leg veins with compression and maneuvers	43	42	$246.05	$33.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	36	28	$155.00	$12.56
93926 Ultrasound of one leg arteries or artery grafts	36	29	$630.00	$132.23
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	28	28	$124.00	$21.44
93990 Ultrasound of dialysis access	26	14	$639.00	$133.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$346.12	$131.36
75625 Radiological supervision and interpretation X-ray of abdominal aorta	16	13	$169.00	$69.18
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	14	$730.00	$284.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$499.92	$169.99
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	11	$165.00	$84.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$329.00	$113.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	138	118	$767.00	$199.54
99213 Established patient office or other outpatient visit, typically 15 minutes	114	106	$213.00	$75.66
93922 Ultrasound study of arm and leg arteries	100	82	$317.00	$74.05
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	82	75	$472.00	$123.89
93970 Ultrasound study of arm or leg veins with compression and maneuvers	75	70	$794.00	$198.48
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	63	57	$742.00	$184.48
93970 Ultrasound study of arm or leg veins with compression and maneuvers	60	58	$794.00	$35.49
93990 Ultrasound of dialysis access	60	33	$639.00	$138.43
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	53	44	$155.02	$12.71
76937 Ultrasonic guidance for blood vessel access	53	44	$45.00	$14.91
93925 Ultrasound of leg arteries or artery grafts	50	46	$966.00	$258.67
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	44	44	$472.00	$22.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$314.00	$108.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$484.00	$167.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$317.00	$107.92
93926 Ultrasound of one leg arteries or artery grafts	25	24	$630.00	$135.44
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	15	$169.00	$72.14
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	14	12	$814.00	$272.62
93880 Ultrasound of both sides of head and neck blood flow	14	14	$89.00	$40.95
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	13	$165.00	$88.99
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	13	12	$3501.00	$1054.32
36005 Injection for X-ray imaging procedure on veins of arm or leg	13	12	$148.00	$25.07
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	12	11	$8128.00	$224.93
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	12	11	$3997.00	$241.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	175	149	$767.00	$200.82
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	148	133	$472.00	$121.00
93970 Ultrasound study of arm or leg veins with compression and maneuvers	146	137	$794.00	$193.83
93922 Ultrasound study of arm and leg arteries	116	104	$317.00	$74.74
99213 Established patient office or other outpatient visit, typically 15 minutes	90	87	$213.00	$74.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	70	$314.00	$108.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	68	66	$794.00	$35.27
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	63	57	$742.00	$182.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	63	59	$472.00	$22.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$484.00	$164.24
93925 Ultrasound of leg arteries or artery grafts	58	55	$966.00	$259.42
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	56	48	$156.00	$12.59
76937 Ultrasonic guidance for blood vessel access	49	41	$45.00	$14.74
93926 Ultrasound of one leg arteries or artery grafts	35	30	$630.00	$134.61
75625 Radiological supervision and interpretation X-ray of abdominal aorta	32	27	$169.00	$57.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$317.00	$109.56
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	28	25	$165.00	$88.42
93880 Ultrasound of both sides of head and neck blood flow	22	22	$89.00	$41.04
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	19	19	$730.00	$282.06
93990 Ultrasound of dialysis access	19	16	$607.32	$131.31
35301 Removal of blood clot and portion of artery of neck	16	14	$3330.00	$1189.66
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$296.00	$102.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	160	139	$767.00	$200.59
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	152	136	$472.00	$121.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	133	125	$794.00	$195.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	115	$314.00	$107.88
93922 Ultrasound study of arm and leg arteries	103	100	$317.00	$78.30
93970 Ultrasound study of arm or leg veins with compression and maneuvers	82	80	$794.00	$34.88
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	66	64	$742.00	$182.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$484.00	$165.19
93925 Ultrasound of leg arteries or artery grafts	58	56	$966.00	$263.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	56	53	$472.00	$22.78
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$213.00	$73.10
76937 Ultrasonic guidance for blood vessel access	37	34	$45.00	$14.57
93990 Ultrasound of dialysis access	37	28	$639.00	$137.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$317.00	$105.31
93880 Ultrasound of both sides of head and neck blood flow	24	24	$89.00	$40.57
75625 Radiological supervision and interpretation X-ray of abdominal aorta	24	23	$169.00	$56.72
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	20	18	$3501.00	$1037.51
93926 Ultrasound of one leg arteries or artery grafts	20	18	$630.00	$134.04
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	18	$165.00	$87.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$601.00	$207.88
36005 Injection for X-ray imaging procedure on veins of arm or leg	16	15	$148.00	$28.14
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	16	$156.00	$12.84
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	14	$730.00	$286.09
35301 Removal of blood clot and portion of artery of neck	14	13	$3330.00	$1182.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$422.00	$145.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$115.00	$39.47
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	12	12	$8128.00	$233.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$588.00	$204.01
93923 Complete ultrasound study of arm and leg arteries	11	11	$490.00	$119.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	144	134	$794.00	$194.25
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	125	113	$472.00	$119.89
93880 Ultrasound of both sides of head and neck blood flow	108	97	$767.00	$198.13
93922 Ultrasound study of arm and leg arteries	105	90	$317.00	$76.45
93970 Ultrasound study of arm or leg veins with compression and maneuvers	86	84	$794.00	$35.00
93925 Ultrasound of leg arteries or artery grafts	80	74	$966.00	$258.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	77	71	$472.00	$22.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	66	$314.00	$107.11
93990 Ultrasound of dialysis access	58	37	$639.00	$133.09
76937 Ultrasonic guidance for blood vessel access	53	44	$45.00	$14.49
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	52	51	$742.00	$181.55
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$213.00	$72.86
93880 Ultrasound of both sides of head and neck blood flow	33	33	$89.00	$40.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	25	$115.00	$39.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$484.00	$163.75
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	29	24	$165.00	$56.59
75625 Radiological supervision and interpretation X-ray of abdominal aorta	27	22	$169.00	$56.24
93926 Ultrasound of one leg arteries or artery grafts	19	19	$630.00	$133.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$588.00	$202.58
76706 Ultrasound scan of abdominal aorta	18	18	$287.00	$93.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$317.00	$107.85
93923 Complete ultrasound study of arm and leg arteries	15	15	$490.00	$111.13
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	13	12	$730.00	$280.77

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License GA 65871

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003135571C (GA)

Medicaid State Provider ID

003135571A (GA)

Medicaid State Provider ID

003135571B (GA)

Hospital & Practice Group Affiliations

Northside Surgical Professional Services Llc

980 Johnson Ferry Rd, Atlanta, GA 303421609

Northside Surgical Professional Services Llc

1270 Friendship Rd, Braselton, GA 305175629

Phone: 4702287900

Northside Surgical Professional Services Llc

1200 Northside Forsyth Dr, Cumming, GA 300417659

Phone: 7708443200

Northside Surgical Professional Services Llc

980 Johnson Fy Rd Ne, Atlanta, GA 303421609

Phone: 4042558304

Northside Surgical Professional Services Llc

1000 Johnson Ferrry Rd Ne, Atlanta, GA 303421606

Phone: 4048518000

Northside Surgical Professional Services Llc

1000 Johnson Ferry Ne, Atlanta, GA 303421606

Northside Surgical Professional Services Llc

450 Northside Cherokee Blvd, Canton, GA 301158015

Phone: 7702241000

Northside Surgical Professional Services Llc

1505 Northside Blvd, Cumming, GA 300417662

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Madison Wickline

Physician Assistant

NPI 1174178370

Lindsay Lewis

Physician Assistant

NPI 1225416258

Dr. Anumeha Whisenhunt , DO

Surgery - Vascular Surgery

NPI 1538499058

Doctor of Osteopathic Medicine (D.O.)

Ronna Brewer , CNP

Nurse Practitioner - Acute Care

NPI 1588240170

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2017

Registered at 980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 303421626 (Tel: 7702923460)

📍

Updated Business Mailing Address February 02, 2017

Registered at 980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 303421626 (Tel: 7702923460)

👤

Provider Name / Credentials Updated February 02, 2017

Recorded as SIDDHARTH PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Surgery (License #65871 in GA)

✅

NPI Profile Active August 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2013

Registered at 980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 303421626 (Tel: 7702923490)

📍

Updated Business Mailing Address August 05, 2013

Registered at 980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 303421626 (Tel: 7702923490)

👤

Provider Name / Credentials Updated August 05, 2013

Recorded as SIDDHARTH PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2013

Surgery (License #65871 in GA)

🟢

Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821001066

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 15, 2006

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

980 Johnson Ferry Rd, Ste 1040

Atlanta, GA 303421626

Phone: 7702923460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.