Individual provider Active NPI

George Joseph Petro Jr., M.D.

  • Internal Medicine Physician
  • Dawsonville, GA
National Provider Identifier
1164522330
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
062155 Issued in GA
Practice address
108 Prominence CT Ste 200
Dawsonville, GA 30534-6340
Phone
(706) 344-6950
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 062155 GA
Internal Medicine Physician 207R00000X 062155 GA Primary

Addresses

Primary practice location

108 Prominence CT Ste 200
Dawsonville, GA 30534-6340

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gpetro94266@nghs.gadirect.net Direct

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
I20090812000924 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9931253713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

108 Prominence CT
Suite 200
Dawsonville, GA 30534-6340
Phone (706) 216-3238

Hospital & facility affiliations

  • Tugaloo Home Health Agency, an Amedisy Company Home health agency, Gainesville, GA, CCN 117305
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • Pruitthealth at Home - Gainesville Home health agency, Gainesville, GA, CCN 117129
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062155GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Sep 2, 2017 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Georgia Heart Institute LLC PastSince Jan 8, 2018 Accepting new patients

Locations

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

108 Prominence Ct
Ste 200
Dawsonville, GA 30534
Phone (706) 216-3238

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Interoperability endpoints

  • Direct secure messaging: gpetro94266@nghs.gadirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1164522330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROMINENCE CT STE 200",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346340",
            "telephone_number": "706-344-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "GEORGE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "062155",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "062155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpetro94266@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "108 Prominence Ct Ste 200",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305346340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.