Active NPI
Jared Gregory Breyley, M.D.
- Interventional Cardiology Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 82281
- Practice address
- 6001 Professional Pkwy Ste 2080
Douglasville, GA 30134-5632 - Phone
- (678) 715-5080
- NPI assigned
- Dec 17, 2008
- Last updated
- Oct 22, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 53161 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | 82281 | GA | Primary |
Addresses
Primary practice location
6001 Professional Pkwy Ste 2080
Douglasville, GA 30134-5632
Mailing address
6001 Professional Pkwy Ste 2080
Douglasville, GA 30134-5632
Phone (678) 715-5080
Other practice location 1
Vanderbilt University Medical Ctr
383 Preston Research Building, 2220 Pierce Avenue
Nashville, TN 37232-0001
Phone (615) 936-1713
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbreyley339015@directwellstar.org |
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
- Interventional Cardiology
- Education
- Mercer University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
2540 Windy Hill Rd
Marietta, GA 30067-8605
Phone (770) 644-1570
2540 Windy Hill Serd
Marietta, GA 30067-8605
Phone (770) 644-1274
2550 Windy Hill Rd SE
Suite 220
Marietta, GA 30067-8605
Phone (404) 321-9900
340 Kennestone Hospital Blvd
Suite 100
Marietta, GA 30060-1158
Phone (770) 281-5100
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
6001 Professional Pkwy
Douglasville, GA 30134-5632
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585
Hospital & facility affiliations
- Wellstar Douglas Medical Center
- Wellstar Paulding Medical Center
- Wellstar Cobb Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53161 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
Locations
6001 Professional Pkwy
Ste 2080
Douglasville, GA 30134
Phone (678) 715-5080
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- jbreyley339015@directwellstar.org
Organizations & group practices 3
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Medical Specialists
- Endocrinology, Diabetes & Metabolism Physician
- Marietta, GA
- NPI 1629374681
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1144466426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 PROFESSIONAL PKWY STE 2080",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345632",
"telephone_number": "678-715-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 PROFESSIONAL PKWY STE 2080",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345632",
"telephone_number": "678-715-5080"
}
],
"practiceLocations": [
{
"address_1": "Vanderbilt University Medical Ctr",
"address_2": "383 Preston Research Building, 2220 Pierce Avenue",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-936-1713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREYLEY",
"first_name": "JARED",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-17",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "53161",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "82281",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbreyley339015@directwellstar.org",
"affiliation": "N",
"address_1": "6001 Professional Pkwy Ste 2080",
"city": "Douglasville",
"state": "GA",
"country_code": "US",
"postal_code": "301345632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.