Emily Patricia Andreano

Individual provider Active NPI Physician Assistant · Canton, GA

NPI 1033765607 · NPPES record last updated Oct 5, 2022

Key facts

NPI
1033765607
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
10013 (GA)
Practice address
470 Northside Cherokee Blvd Ste 201
Canton, GA 30115-8029
Phone
(770) 720-7246
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urological Professional Services, LLC (72 clinicians)
Georgia Urology, PA (99 clinicians)

Practice addresses (Care Compare)

4450 Calibre Xing NW
Acworth, GA 30101-4103
Phone (770) 607-1893

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

470 Northside Cherokee Blvd
Suite 201
Canton, GA 30115-8015
Phone (770) 720-7246

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital · Canton, GA · CCN 110008
  • Northside Hospital Hospital · Atlanta, GA · CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100 (group)
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210604001709 GA Practitioner - Physician Assistant 5092114454 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA Current
since Nov 7, 2022
Accepting new patients
Georgia Urology, PA Current
since Nov 7, 2022
Accepting new patients
Smartcare, LLC Past
since May 1, 2021
Accepting new patients

Locations

470 Northside Cherokee Blvd
Ste 201
Canton, GA 30115
Phone (770) 720-7246

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: emily.andreano.p1@direct.gupa.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 10013 GA Yes

Addresses

Primary practice location

470 Northside Cherokee Blvd Ste 201
Canton, GA 30115-8029

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Other names

  • Emily Patricia Bowman Former name

Other providers in Canton, GA

All providers in Canton, GA · Physician Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.