Individual provider Active NPI

Darryl Hugh Knight, M.D.

  • Surgery Physician
  • Thomaston, GA
National Provider Identifier
1154577872
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
070262 Issued in GA
Practice address
612 W Gordon St
Suite B
Thomaston, GA 30286-3480
Phone
(706) 648-3368
Fax
(706) 647-4788
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 070262 GA Primary

Addresses

Primary practice location

612 W Gordon St
Suite B
Thomaston, GA 30286-3480

Mailing address

612 W Gordon St
Suite B
Thomaston, GA 30286-3480
Phone (706) 648-3368

Other identifiers 1

IdentifierTypeStateIssuer
001623OtherGAPHYSICIAN, GENERAL SURGERY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000628 GA Practitioner - General Surgery 8022252212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Morehouse School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson Surgical Associates, LLCGroup PAC ID 2062690480, 18 clinicians

Practice addresses (Care Compare)

612 W Gordon St
Thomaston, GA 30286-3480

801 W Gordon St
Thomaston, GA 30286-3426

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Amedisys Home Health of Griffin Home health agency, Griffin, GA, CCN 117045
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux29
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070262GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upson County Hospital Inc Current Accepting new patients
Upson Surgical Associates, LLC Surgery CurrentSince Aug 12, 2013 Accepting new patients

Locations

100 Highway 18 W
Ste 202
Barnesville, GA 30204
Phone (770) 872-2321

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

612 W Gordon St
Ste E
Thomaston, GA 30286
Phone (706) 647-3030

Interoperability endpoints

  • Direct secure messaging: darryl.knight@urmc.gadirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1154577872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST",
            "address_2": "SUITE B",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863480",
            "telephone_number": "706-648-3368",
            "fax_number": "706-647-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST",
            "address_2": "SUITE B",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863480",
            "telephone_number": "706-648-3368",
            "fax_number": "706-647-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DARRYL",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "070262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN, GENERAL SURGERY",
            "identifier": "001623",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.