Active NPI
Bruce Terence Kalmin, MD
- Gastroenterology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 54441
- Practice address
- 2020 Cumming Hwy Ste 102
Canton, GA 30115-8071 - Phone
- (678) 593-1295
- Fax
- (678) 593-1294
- NPI assigned
- Oct 13, 2006
- Last updated
- Aug 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 54441 | GA | Primary |
Addresses
Primary practice location
2020 Cumming Hwy Ste 102
Canton, GA 30115-8071
Mailing address
2020 Cumming Hwy Ste 102
Canton, GA 30115-8071
Phone (678) 593-1295
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667854561G | Medicaid | GA | |
| 202I117290 | Other | GA | MEDICARE PTAN |
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
- Gastroenterology
- Education
- University of Texas Medical School at San Antonio, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
2020 Cumming Hwy
Suite 102
Canton, GA 30115-8071
Phone (678) 593-1295
2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8633
Phone (770) 612-8165
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075
900 Towne Lake Pkwy
Suite 308
Woodstock, GA 30189-1604
Phone (770) 926-5459
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 148 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 214 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54441 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
Locations
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
218 Hospital Dr
#C
Blairsville, GA 30512
Phone (706) 400-5668
2020 Cumming Hwy
#102
Canton, GA 30115
Phone (678) 593-1295
320 Hospital Rd
Ste 320
Canton, GA 30114
Phone (678) 593-1294
320 Hospital Rd
Ste 320B
Canton, GA 30114
Phone (678) 593-1294
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610
5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342
5671 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342
Phone (404) 252-9307
900 Towne Lake Pkwy
Ste 308
Woodstock, GA 30189
Phone (770) 926-5459
Interoperability endpoints
- bruce.kalmin@ud.eclinicaldirectplus.com
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
dba Atlanta Gastroenterology Associates
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1093805509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CUMMING HWY STE 102",
"city": "CANTON",
"state": "GA",
"postal_code": "301158071",
"telephone_number": "678-593-1295",
"fax_number": "678-593-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CUMMING HWY STE 102",
"city": "CANTON",
"state": "GA",
"postal_code": "301158071",
"telephone_number": "678-593-1295",
"fax_number": "678-593-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALMIN",
"first_name": "BRUCE",
"middle_name": "TERENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "54441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "667854561G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I117290",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.