NPIMap

Individual provider Active NPI

George J Kanes, M.D.

  • Pulmonary Disease Physician
  • Marietta, GA
National Provider Identifier
1124012554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
029336 Issued in GA
Practice address
140 Vann St NE
Marietta, GA 30060-7297
Phone
(770) 419-0020
Fax
(770) 419-8135
NPI assigned
Aug 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 029336 GA Primary

Addresses

Primary practice location

140 Vann St NE
Marietta, GA 30060-7297

Mailing address

140 Vann St NE Ste 140
Marietta, GA 30060-7297
Phone (770) 419-0020

Other identifiers 1

IdentifierTypeStateIssuer
00432308BMedicaidGA

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
I20110601000084 GA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0941487904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Roswell Internal Medicine, PCGroup PAC ID 4789671595, 4 clinicians

Practice addresses (Care Compare)

11050 Crabapple Rd
Roswell, GA 30075-2456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Roswell Internal Medicine, PC Pulmonary Disease CurrentSince Feb 10, 2015 Accepting new patients

Locations

11050 Crabapple Rd
Ste 104B
Roswell, GA 30075
Phone (770) 645-0017

Interoperability endpoints

  • Direct secure messaging: george.kanes.1@3619.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3619/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124012554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 VANN ST NE STE 140",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607297",
            "telephone_number": "770-419-0020",
            "fax_number": "770-419-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VANN ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607297",
            "telephone_number": "770-419-0020",
            "fax_number": "770-419-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANES",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "029336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00432308B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.