Active NPI
Gregory Paul Petro, MD
- Cardiovascular Disease Physician
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 051265
- Practice address
- 3333 Jodeco Road
Suite a
McDonough, GA 30253 - Phone
- (770) 692-4000
- Fax
- (770) 474-8510
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 051265 | GA | Primary |
Addresses
Primary practice location
3333 Jodeco Road
Suite a
McDonough, GA 30253
Mailing address
3333 Jodeco Road
Suite a
McDonough, GA 30253
Phone (770) 692-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000947108E | Medicaid | GA | |
| 000947108I | Medicaid | GA | |
| 000947108F | 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
- Cardiovascular Disease (Cardiology)
- Education
- Jefferson Medical College of Thomas Jefferson University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Jodeco Rd
McDonough, GA 30253-5319
Phone 7706924000118
Hospital & facility affiliations
- Piedmont Henry Hospital
- Wellstar Spalding Medical Center
- Piedmont Fayette Hospital
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051265 | GA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Cardiovascular Professional Services, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Smyrna Family Medicine, LLC | Current | Accepting new patients | |
| Atlanta Heart Associates PC | Cardiovascular Disease | Current | Accepting new patients |
| The Atlanta Cardiology Group PC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Cardiac Disease Specialists, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Piedmont Hospital, Inc | Past | Accepting new patients | |
| Paulding Medical Center, Inc. | Past | Accepting new patients | |
| Cobb Hospital, Inc | Past | Accepting new patients | |
| Paulding Medical Center, Inc. | Past | Accepting new patients | |
| Saint Josephs Hospital of Atlanta Inc | Past | Accepting new patients | |
| Douglas Hospital, Inc. | Past | Accepting new patients |
Locations
275 Collier Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 350-0009
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
95 Collier Rd NW
Ste 2035
Atlanta, GA 30309
Phone (404) 355-9815
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
600 W Memorial Dr
Dallas, GA 30132
Phone (770) 443-7072
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
747 S 8th St
Ste A
Griffin, GA 30224
Phone (770) 233-3309
220 J L White Dr
Ste 150
Jasper, GA 30143
Phone (706) 253-2430
3333 Jodeco Rd
Ste A
McDonough, GA 30253
Phone (770) 692-4000
483 Upper Riverdale Rd SW
Ste C
Riverdale, GA 30274
Phone (770) 907-9009
1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565
5665 Peachtree Dunwoody Rd
Ste 172
Sandy Springs, GA 30342
Phone (404) 851-5400
350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000
Organizations & group practices 12
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.
-
- Cardiovascular Disease Physician
- McDonough, GA
- NPI 1851327241
-
- Cardiovascular Disease Physician
- Roswell, GA
- NPI 1518979921
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Family Medicine Physician
- Smyrna, GA
- NPI 1598168650
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1457305732
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
- Skilled Nursing Facility
- Dallas, GA
- NPI 1962473355
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1124294640
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1124023304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 JODECO ROAD",
"address_2": "SUITE A",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30253",
"telephone_number": "770-692-4000",
"fax_number": "770-474-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 JODECO ROAD",
"address_2": "SUITE A",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30253",
"telephone_number": "770-692-4000",
"fax_number": "770-474-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRO",
"first_name": "GREGORY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2024-02-22",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "051265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000947108E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000947108I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000947108F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.