Individual provider Active NPI

Andrew J Kirsch, M.D.

  • Pediatric Urology Physician
  • Atlanta, GA
National Provider Identifier
1336243898
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
045518 Issued in GA
Practice address
5445 Meridian Marks Rd NE
Suite 420
Atlanta, GA 30342-4763
Phone
(404) 252-5206
Fax
(404) 252-1268
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 045518 GA Primary

Addresses

Primary practice location

5445 Meridian Marks Rd NE
Suite 420
Atlanta, GA 30342-4763

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Other identifiers 3

IdentifierTypeStateIssuer
Q45518MedicaidSC
340019521OtherGARAILROAD MEDICARE
000789797CMedicaidGA

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
I20081125000412 GA Practitioner - Urology 4688747611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of Ny Upstate Medical University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

5730 Glenridge Dr
Suite 200
Atlanta, GA 30328-5579
Phone (404) 256-1844

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA CurrentSince Aug 22, 2010 Accepting new patients
Georgia Urology, PA CurrentSince Jul 1, 2001 Accepting new patients
Georgia Urology PA Current Accepting new patients
Georgia Urology Pediatric LLC Pediatric Urology Past Accepting new patients
Scottish Rite Children's Medical Center Past Accepting new patients

Locations

1110 W Peachtree St NW
Ste 1020
Atlanta, GA 30309
Phone (404) 222-0292

850 Lawrenceville Suwanee Rd
Ste 101
Lawrenceville, GA 30043
Phone (770) 963-2451

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

11835 Alpharetta Hwy
Ste 101
Roswell, GA 30076
Phone (770) 475-7550

11835 Alpharetta Hwy
Ste 100
Roswell, GA 30076
Phone (770) 475-7550

5445 Meridian Mark Rd
Ste 420
Sandy Springs, GA 30342
Phone (404) 252-5206

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

4298 Atlanta Rd SE
Ste 300
Smyrna, GA 30080
Phone (770) 429-9100

4298 Atlanta Rd SE
Ste 305
Smyrna, GA 30080
Phone (678) 284-4040

175 Country Club Dr
Bldg 300D
Stockbridge, GA 30281
Phone (678) 284-4040

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: andrew.kirsch@gadirect.net
  • Direct secure messaging: andrew.kirsch.p1@direct.gupa.nextgenshare.com

Organizations & group practices 5

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 1

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336243898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARKS RD NE",
            "address_2": "SUITE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424763",
            "telephone_number": "404-252-5206",
            "fax_number": "404-252-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "GA",
            "license": "045518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q45518",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340019521",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000789797C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.