Individual provider Active NPI

Getachew Desta Iyasu, M.D

  • Hospitalist Physician
  • Gainsville, GA
National Provider Identifier
1184064867
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
74871 Issued in GA
Practice address
743 Spring Street NE
Gainsville, GA 30501
Phone
(770) 219-6000
NPI assigned
Jun 26, 2013
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 006551 GA
Hospitalist Physician 208M00000X 74871 GA Primary

Addresses

Primary practice location

743 Spring Street NE
Gainsville, GA 30501

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address giyasu29784@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
I20160707001433 GA Practitioner - HospitalistPractitioner - Internal Medicine 9537399647 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Southeastern Medical Specialists, LLCGroup PAC ID 8527401777, 9 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Nov 22, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince May 3, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Aug 18, 2023 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Jun 15, 2018 Accepting new patients
Southeastern Medical Specialists, LLC Hospitalist CurrentSince Jan 30, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Jul 11, 2016 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Jun 15, 2018 Accepting new patients
Stephens County Hospital Authority Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

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

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

Interoperability endpoints

  • Direct secure messaging: getachew.iyasu.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: getachew.iyasu.p50@direct.tenet.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1184064867",
    "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": "743 SPRING STREET NE",
            "city": "GAINSVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-219-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYASU",
        "first_name": "GETACHEW",
        "middle_name": "DESTA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "006551",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "74871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giyasu29784@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring Street NE",
            "city": "Gainsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainsville, GA

Sources for this page

Verify at the official NPI Registry.