Individual provider Active NPI

Alienor Sylvaine Gilchrist, MD

  • Urology Physician
  • Stockbridge, GA
National Provider Identifier
1275737066
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
065659 Issued in GA
Practice address
180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone
(770) 474-5281
Fax
(770) 389-8674
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 065659 GA Primary

Addresses

Primary practice location

180 N Park TRL Ste 100
Stockbridge, GA 30281-7372

Mailing address

180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone (770) 474-5281

Other identifiers 3

IdentifierTypeStateIssuer
GRP6913OtherGAMEDICARE GROUP PTAN
202I348149OtherGAMEDICARE PTAN
BP2-0026711OtherINSTITUTIONAL PERMIT

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
I20110928000211 GA Practitioner - Urology 8921122482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Greater Atlanta LLCGroup PAC ID 5294783734, 12 clinicians

Practice addresses (Care Compare)

1100 Lake Hearn Dr
Suite 320
Atlanta, GA 30342-1555
Phone (770) 474-5281

180 N Park TRL
Stockbridge, GA 30281-7372
Phone (770) 474-5281

685 S 9TH St
Griffin, GA 30224-4215
Phone (770) 474-5281

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065659GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Greater Atlanta LLC CurrentSince Apr 30, 2015 Accepting new patients
Diagnostic Imaging Specialists PA Past Accepting new patients

Locations

1100 Lake Hearn Dr
Ste 320
Sandy Springs, GA 30342
Phone (404) 257-1858

180 N Park Trl
Ste 210
Stockbridge, GA 30281

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

180 N Park Trl
Ste 100
Stockbridge, GA 30281

290 Country Club Dr
Ste 240
Stockbridge, GA 30281
Phone (678) 565-1806

290 Country Club Dr
Ste 100
Stockbridge, GA 30281
Phone (678) 854-9500

290 Country Club Dr
Ste 230
Stockbridge, GA 30281

Interoperability endpoints

  • Direct secure messaging: agilchrist@uga1669.srs-direct.com

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1275737066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-474-5281",
            "fax_number": "770-389-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-474-5281",
            "fax_number": "770-389-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "ALIENOR",
        "middle_name": "SYLVAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "065659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "GRP6913",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I348149",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP2-0026711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.