Krum Georgiev, DPM, CWSP

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001384 Issued in GA

Practice address

5440 Lilburn Stone Mountain Rd Ste a
Stone Mountain, GA 30087-2879

Phone

(404) 474-4714

Fax

(404) 474-2703

NPI assigned

Apr 18, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Atlanta Podiatry Clinic

  • Podiatric Clinic/Center
  • Stone Mountain, GA
  • NPI 1164144291

  GA

  Medicare reassignment NPD Authorized official
• Gitlin LLC

  • Foot & Ankle Surgery Podiatrist
  • Hewlett, NY
  • NPI 1518492438

  Foot & Ankle Surgery

  NPD (past)
• Marianna Blokh DPM, P.C.

  • Podiatrist
  • Brooklyn, NY
  • NPI 1497268411
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1104183086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 LILBURN STONE MOUNTAIN RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872879",
            "telephone_number": "404-474-4714",
            "fax_number": "404-474-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 LILBURN STONE MOUNTAIN RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872879",
            "telephone_number": "404-474-4714",
            "fax_number": "404-474-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIEV",
        "first_name": "KRUM",
        "name_prefix": "Dr.",
        "credential": "DPM, CWSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy, L.L.C.
• Georgia Medical Speech Pathology Group
• Georgia Peachcare Services LLC
• Georgia Rehabilitation Associates, Inc.
• Georgia Youth Network Inc
• Richard Gerson, L.P.C.
• Raeanne Elizabeth Gialanella, OTR
• Gibraltar Biz, LLC
• Courtney Lauren Gilliland
• Gilma Compassion LLC

• All providers in Stone Mountain, GA
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.