Gregory L Erdelyan, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35864 Issued in GA

Practice address

1104 Hospital Dr
Stockbridge, GA 30281-6381

Phone

(678) 289-2003

Fax

(678) 289-0191

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

General SurgeryAlso: Thoracic Surgery

Education

University of Texas Medical School at Houston, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Vein Clinics of Decatur LLCGroup PAC ID 9931426749, 3 clinicians

USA Vascular Center of Decatur, LLCGroup PAC ID 1052665957, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• USA Vascular Center of Decatur LLC

  • Vascular Surgery Physician
  • Decatur, GA
  • NPI 1487133278
  Medicare reassignment Care Compare group NPD
• USA Vein Clinics of Decatur LLC

  • Vascular Surgery Physician
  • Decatur, GA
  • NPI 1912301003
  Medicare reassignment Care Compare group NPD
• Atlanta Laser Vein Institute, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1245638998
  Medicare reassignment NPD
• Georgia Phlebology PC

  • Surgery Physician
  • Alpharetta, GA
  • NPI 1598701450
  Medicare reassignment NPD
• Pelham Pkwy Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1063926962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1295786234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 HOSPITAL DR.",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-289-2003",
            "fax_number": "678-289-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-289-2003",
            "fax_number": "678-289-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDELYAN",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "35864",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "35864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000508362F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackquelina English, SUPERVISED THERAPIST
• Envip Medical Supplies
• Epeople Healthcare Georgia, LLC
• Epeople Healthcare Georgia, LLC
• Douglas K Epps, M.D.
• Cyril A Esemaya, PA
• Christopher Uzochukwu Esonu, MD
• Essential Hands Ambulance Service
• Essential Health Services LLC
• Rachel Gatlin Estes, FNP-C

• Surgery Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.

Verify at the official NPI Registry.