NPIMap

Individual provider Active NPI

Paul Q. Cerny, M.D.

  • Family Medicine Physician
  • Flowery Branch, GA
National Provider Identifier
1093707473
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051760 Issued in GA
Practice address
4919 Atlanta Hwy
Flowery Branch, GA 30542-3328
Phone
(770) 965-9222
Fax
(770) 965-8811
NPI assigned
Aug 22, 2005
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051760 GA Primary

Addresses

Primary practice location

4919 Atlanta Hwy
Flowery Branch, GA 30542-3328

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other identifiers 1

IdentifierTypeStateIssuer
000957976AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerny29351@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000019 GA Practitioner - Family Practice 2961564711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4919 Atlanta Hwy
Flowery Branch, GA 30542-3328
Phone (770) 965-9222

5678 Phil Niekro Blvd
Flowery Branch, GA 30542-3328
Phone (770) 848-9160

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051760GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Aug 1, 2002 Accepting new patients

Locations

1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195

4919 Atlanta Hwy
Flowery Branch, GA 30542
Phone (770) 848-9160

5678 Phil Niekro Blvd
Flowery Branch, GA 30542
Phone (770) 848-9160

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969

3931 Mundy Mill Rd
Ste A
Oakwood, GA 30566
Phone (770) 503-1481

Interoperability endpoints

  • Direct secure messaging: pcerny29351@nghs.gadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1093707473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 ATLANTA HWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423328",
            "telephone_number": "770-965-9222",
            "fax_number": "770-965-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNY",
        "first_name": "PAUL",
        "middle_name": "Q.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000957976A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerny29351@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4919 Atlanta Hwy",
            "city": "Flowery Branch",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305423328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

Verify at the official NPI Registry.