Edwin Steven Gerson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

015469 Issued in GA

Practice address

5664 River Oaks PL NW
Atlanta, GA 30327-4256

Phone

(404) 252-9729

NPI assigned

Sep 20, 2006

Last updated

Jun 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Tufts University School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Northside Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1013960657
  Medicare reassignment Care Compare group NPD
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Stockbridge, GA
  • NPI 1265484182
  Medicare reassignment NPD
• Gervy LLC

  • Diagnostic Radiology Physician
  • Riverdale, GA
  • NPI 1033390794
  NPD Authorized official
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Griffin, GA
  • NPI 1235382375
  NPD
• Northside Hospital, Inc.

  dba Northside Gwinnett Joan Glancy

  • Rehabilitation Hospital Unit
  • Duluth, GA
  • NPI 1134168016
  NPD (past)
• South Atlanta Radiology Associates- Griffin

  • Diagnostic Radiology Physician
  • Griffin, GA
  • NPI 1477704831
  NPD (past)

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

• Northside Hospital, Inc.

  dba Northside Hospital Cherokee

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1063510311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 RIVER OAKS PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274256",
            "telephone_number": "404-252-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 RIVER OAKS PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274256",
            "telephone_number": "404-252-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "EDWIN",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "015469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000212022B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan B Gersh, PSY.D.
• Mark David Gershman, M.D.
• Gabrielle Gershon
• Raphael Gershon, MD
• Tzipporah R Gerson-Miller, LCSW
• Elyssa Gerst, PHD
• Hayalneh Gessessew, MD
• Get You There Nemt (Get You There Nemt LLC)
• Esete Getachew-Smith
• Courtney Geter, LMFT

• Diagnostic Radiology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.

Verify at the official NPI Registry.