Anuj Kumar Dua, MD
Individual provider Active NPI Surgery Physician · Holly Springs, GA
NPI 1104866334 · NPPES record last updated Dec 21, 2011
Key facts
- NPI
- 1104866334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 053856 (GA)
- Practice address
- 684 Sixes Rd
Suite 225
Holly Springs, GA 30115-8721 - Phone
- (770) 704-6101
- Fax
- (770) 704-6316
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441
684 Sixes Rd
Suite 225
Canton, GA 30115-8722
Phone (770) 704-6101
Hospital & facility affiliations
- Northside Hospital Cherokee
- Piedmont Mountainside Hospital Inc
- Emory Johns Creek Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 20 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050518000895 | GA | Practitioner - General Surgery | 4981645017 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053856 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health Biometric Testing, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 053856 | GA | Yes |
Addresses
Primary practice location
684 Sixes Rd
Suite 225
Holly Springs, GA 30115-8721
Mailing address
684 Sixes Rd
Suite 225
Holly Springs, GA 30115-8721
Phone (770) 704-6101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 594877089B | Medicaid | GA |
Other providers in Holly Springs, GA
- Lily Dlhosh
- Nancy R Doelling
- Dotson Stevens Enterprises, Inc.
- Andrew Edward Doyle
- Dr. Tom LLC
- Cynthia Elizabeth Duprey
- Stephen Thomas Ellis
- Embrace Mobility Therapy Services
- Oliver Raymond Evans II
- Jillian Ferdinand
All providers in Holly Springs, GA · Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.