Individual provider Active NPI

Kris F Gillian, M.D.

  • Ophthalmology Physician
  • Lawrenceville, GA
National Provider Identifier
1073575940
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
050167 Issued in GA
Practice address
771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30045-4386
Phone
(770) 995-5408
Fax
(770) 513-2042
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 050167 GA Primary

Addresses

Primary practice location

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30045-4386

Mailing address

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30045-4386
Phone (770) 995-5408

Other identifiers 2

IdentifierTypeStateIssuer
P00256062OtherRAILROAD
000917122DMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000964 GA Practitioner - Ophthalmology 7911931753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Eye Associates, P.C.Group PAC ID 9830187152, 8 clinicians

Practice addresses (Care Compare)

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30046-4979
Phone (770) 995-5408

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Eye Associates, P.C. Ophthalmology CurrentSince Sep 2, 2005 Accepting new patients
Eugene B. Gabianelli, MD & Assoc. LLC Ophthalmology Current Accepting new patients
Urology of Greater Atlanta LLC Past Accepting new patients

Locations

3120 Maple Dr NE
Atlanta, GA 30305
Phone (404) 233-3267

2799 Lawrenceville Hwy
Ste 104
Decatur, GA 30033
Phone (404) 297-3440

771 Old Norcross Rd
Ste 150
Lawrenceville, GA 30046
Phone (770) 995-5408

2368 Main St
Ste 2
Tucker, GA 30084

Interoperability endpoints

  • Direct secure messaging: kgillian@espgep.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1073575940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454386",
            "telephone_number": "770-995-5408",
            "fax_number": "770-513-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454386",
            "telephone_number": "770-995-5408",
            "fax_number": "770-513-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAN",
        "first_name": "KRIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "050167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00256062",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000917122D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.