Active NPI
Marcus J Gates, MD
- Neurological Surgery Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 82595
- Practice address
- 1700 Hospital South Dr Ste 102
Austell, GA 30106-8116 - Phone
- (470) 956-4410
- Fax
- (770) 745-0782
- NPI assigned
- Jun 20, 2012
- Last updated
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 56552 | MN | |
| Neurological Surgery Physician | 207T00000X | 82595 | GA | Primary |
Addresses
Primary practice location
1700 Hospital South Dr Ste 102
Austell, GA 30106-8116
Mailing address
1700 Hospital South Dr Ste 102
Austell, GA 30106-8116
Phone (470) 956-4410
Other practice location 1
4441 Atlanta Rd SE Ste 215
Smyrna, GA 30080-6442
Phone (470) 956-4210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgates339005@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Meharry Medical College School of Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Matrix Rehabilitation-Georgia Inc
Practice addresses (Care Compare)
1700 Hospital S Dr
Austell, GA 30106-8116
234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
4441 Atlanta Rd SE
Suite 204
Smyrna, GA 30080-6442
Phone (470) 610-0145
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Home Health, LLC
- Wellstar Cobb Medical Center
- Wellstar Douglas Medical Center
- Wellstar Paulding Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 156 |
| Laminectomy or laminotomy (partial removal of spine bones) | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Cobb Hospital, Inc | Past | Accepting new patients |
Locations
1700 Hospital South Dr
Ste 102
Austell, GA 30106
Phone (770) 792-6262
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
4441 Atlanta Rd SE
Ste 314
Smyrna, GA 30080
Phone (470) 956-4210
Networks
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABDECA
- mgates339005@directwellstar.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1003179425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HOSPITAL SOUTH DR STE 102",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068116",
"telephone_number": "470-956-4410",
"fax_number": "707-450-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HOSPITAL SOUTH DR STE 102",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068116",
"telephone_number": "470-956-4410",
"fax_number": "770-745-0782"
}
],
"practiceLocations": [
{
"address_1": "4441 Atlanta Rd SE Ste 215",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806442",
"country_code": "US",
"telephone_number": "470-956-4210",
"fax_number": "678-842-5543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATES",
"first_name": "MARCUS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MN",
"license": "56552",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "82595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgates339005@directwellstar.org",
"affiliation": "N",
"address_1": "1605 Mulkey Rd Ste A",
"city": "Austell",
"state": "GA",
"country_code": "US",
"postal_code": "301066820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.