Active NPI
Stuart J Pancer, MD
- Obstetrics & Gynecology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 040187
- Practice address
- 2199 College Ave NE
Atlanta, GA 30317-1334 - Phone
- (770) 396-2496
- Fax
- (770) 493-6189
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 040187 | GA | Primary |
Addresses
Primary practice location
2199 College Ave NE
Atlanta, GA 30317-1334
Mailing address
2199 College Ave NE
Atlanta, GA 30317-1334
Phone (770) 396-2496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00657401D | Medicaid | GA |
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
- Obstetrics/Gynecology
- Education
- Perelman School of Med at the University of Pennsylvania, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Perimeter OB/GYN Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Dekalb Medical Center, Inc. | Current | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| Emory Specialty Associates, LLC | Past | Accepting new patients | |
| Dekalb Medical Psych Unit | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
2665 N Decatur Rd
Decatur, GA 30033
Phone (404) 299-2223
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1438 Montreal Rd
Ste 412
Tucker, GA 30084
Phone (770) 493-9191
1462 Montreal Rd
Ste 412
Tucker, GA 30084
Phone (770) 396-2496
Interoperability endpoints
- stuart.pancer@gadirect.net
- spancer68483@direct.emory.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Obstetrics & Gynecology Physician
- Tucker, GA
- NPI 1639114556
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Psychiatric Hospital Unit
- Decatur, GA
- NPI 1821099474
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1124014022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2199 COLLEGE AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303171334",
"telephone_number": "770-396-2496",
"fax_number": "770-493-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2199 COLLEGE AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303171334",
"telephone_number": "770-396-2496",
"fax_number": "770-493-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCER",
"first_name": "STUART",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "040187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00657401D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.