Active NPI
Bryan T Kumiga, D.O.
- Physical Medicine & Rehabilitation Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 078068
- Practice address
- 300 Tower Rd NE Ste 200
Marietta, GA 30060 - Phone
- (770) 427-5717
- NPI assigned
- Apr 20, 2011
- Last updated
- Jul 5, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 250184 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 35704 | SC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 078068 | GA | Primary |
| General Practice Physician | 208D00000X | 254654-1 | NY |
Addresses
Primary practice location
300 Tower Rd NE Ste 200
Marietta, GA 30060
Mailing address
300 Tower Rd NE Ste 200
Marietta, GA 30060-9403
Phone (770) 427-5717
Other practice location 1
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206 ext. 303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300022345A | Medicaid | GA |
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
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717
655 Molly LN
Woodstock, GA 30189-6519
Phone (770) 517-1080
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Northside Hospital Cherokee
- Wellstar Paulding 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254654-1 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Orthopaedics & Sports Medicine Specialists LLC | General Practice | Current | Accepting new patients |
| Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Current | Accepting new patients | |
| Pinnacle Orthopaedics & Sports Medicine Specialists, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
720 Transit Ave
Ste 202
Canton, GA 30114
Phone (770) 345-5717
100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717
144 Bill Carruth Pkwy
Ste 4700
Hiram, GA 30141
Phone (678) 453-5717
300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219
300 Tower Rd NE
Ste 170
Marietta, GA 30060
300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717
1505 Stone Bridge Pkwy
Ste 200
Woodstock, GA 30189
Phone (770) 926-6520
Interoperability endpoints
- bryan.kumiga.1@15749.direct.athenahealth.com
- bryan.kumiga@po.eclinicaldirectplus.com
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.
-
- Specialist
- Marietta, GA
- NPI 1194815175
-
- Specialist
- Marietta, GA
- NPI 1003367707
General Practice
-
- Orthopaedic Surgery Physician
- Acworth, GA
- NPI 1386908184
Physical Medicine & Rehabilitation
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
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 Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
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": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1255622585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TOWER RD NE STE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609403",
"telephone_number": "770-427-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TOWER RD NE STE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30060",
"telephone_number": "770-427-5717"
}
],
"practiceLocations": [
{
"address_1": "3708 Northside Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312102404",
"country_code": "US",
"telephone_number": "478-745-4206 x303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMIGA",
"first_name": "BRYAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-20",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "250184",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "35704",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "078068",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "254654-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300022345A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.