Active NPI
Stephanie Kahn, MD
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 069338
- Practice address
- 1183 Haven Brook CT NE
Atlanta, GA 30319-2669 - Phone
- (614) 561-7771
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 069338 | GA | Primary |
Addresses
Primary practice location
1183 Haven Brook CT NE
Atlanta, GA 30319-2669
Mailing address
1183 Haven Brook CT NE
Atlanta, GA 30319-2669
Phone (614) 561-7771
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130625000045 | GA | Practitioner - Emergency Medicine | 9436398443 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Northeastern Ohio University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gwinnett Emergency Specialists Observation Services LLCNorthside Emergency Associates, P.C.
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital
- Northside Hospital Duluth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069338 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Northside Emergency Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Coweta Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Sandy Springs, GA
- NPI 1285686303
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1720373129
GA
-
- Emergency Medicine Physician
- Newnan, GA
- NPI 1245556588
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1437346467
Emergency Medicine, GA
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": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1285951632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 HAVEN BROOK CT NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303192669",
"telephone_number": "614-561-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 HAVEN BROOK CT NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303192669",
"telephone_number": "614-561-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "069338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.