Individual provider Active NPI

Darren David Kies, MD

  • Vascular & Interventional Radiology Physician
  • Atlanta, GA
National Provider Identifier
1194922120
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
67664 Issued in GA
Practice address
1364 Clifton Rd NE, Emory Univ. Hospital
Dept of Radiology, Division of Interventional Radiology
Atlanta, GA 30322
Phone
(404) 712-7033
Fax
(404) 712-7970
NPI assigned
Jul 2, 2007
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 135300 NC
Diagnostic Radiology Physician 2085R0202X 67664 GA
Vascular & Interventional Radiology Physician 2085R0204X 67664 GA Primary

Addresses

Primary practice location

1364 Clifton Rd NE, Emory Univ. Hospital
Dept of Radiology, Division of Interventional Radiology
Atlanta, GA 30322

Mailing address

1364 Clifton Rd NE, Emory Univ. Hospital
Dept of Radiology, Division of Interventional Radiology
Atlanta, GA 30322
Phone (404) 712-7033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120714000056 GA Practitioner - Diagnostic Radiology 4385809573 Reassigns benefits to 1 organization
I20241015001567 SC Practitioner - Diagnostic Radiology 4385809573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiology and Medical Imagery of Newnan PCGroup PAC ID 5395738348, 38 clinicians

Practice addresses (Care Compare)

120 Tranquil CV
Six Mile, SC 29682-9669
Phone (706) 284-6724

3810 Club Dr NE
Atlanta, GA 30319-1110
Phone (770) 400-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67664GAMDDiagnostic Radiology Physician
135300NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Medical Imagery of Newnan, PC Diagnostic Radiology CurrentSince Jan 30, 2018 Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Byrd House-Behavioral Youth Resource Development, Inc Past Accepting new patients

Locations

101 Yorktown Dr
Ste 105
Fayetteville, GA 30214
Phone (770) 716-1111

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1755 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 304-4249

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste 110
Newnan, GA 30265
Phone (770) 400-4300

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.

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1194922120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE, EMORY UNIV. HOSPITAL",
            "address_2": "DEPT OF RADIOLOGY, DIVISION OF INTERVENTIONAL RADIOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-712-7033",
            "fax_number": "404-712-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE, EMORY UNIV. HOSPITAL",
            "address_2": "DEPT OF RADIOLOGY, DIVISION OF INTERVENTIONAL RADIOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-712-7033",
            "fax_number": "404-712-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIES",
        "first_name": "DARREN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "135300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "67664",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "67664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.