Active NPI
A Keith Levinson, M.D.
- Urology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 034182
- Practice address
- 55 Whitcher St NE Ste 250
Marietta, GA 30060-1169 - Phone
- (770) 428-4475
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 034182 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE Ste 250
Marietta, GA 30060-1169
Mailing address
1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040
Other practice location 1
428 Winn Ct
Decatur, GA 30030-1726
Phone (404) 292-3727
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000458609A | Medicaid | GA | |
| 340014814 | Other | GA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alevinson357547@directwellstar.org |
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 |
|---|---|---|---|---|
| I20101208000313 | GA | Practitioner - Urology | 1759378037 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Medical College of Pennsylvania, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
4900 Ivey Rd NW
Acworth, GA 30101-4112
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
55 Whitcher Nest
Marietta, GA 30060-1169
Phone (770) 428-4475
55 Whitcher St
Suite 260
Marietta, GA 30060-1169
Phone (943) 202-7050
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Urology, PA | Current | Accepting new patients | |
| Urological Professional Services, LLC | Urology | Current | Accepting new patients |
| Georgia Urology PA | Urology | Current | Accepting new patients |
| Georgia Urology PA | Urology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893
428 Winn Ct
Decatur, GA 30030
Phone (404) 292-3727
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
55 Whitcher St NE
Ste 250
Marietta, GA 30060
Phone (770) 428-3995
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040
900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201
Interoperability endpoints
- a.levinson@gadirect.net
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Ambulatory Surgical Clinic/Center
- Braselton, GA
- NPI 1861222119
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 2
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": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346342128",
"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": "55 WHITCHER ST NE STE 250",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601169",
"telephone_number": "770-428-4475"
}
],
"practiceLocations": [
{
"address_1": "428 Winn Ct",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300301726",
"country_code": "US",
"telephone_number": "404-292-3727",
"fax_number": "404-294-9674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINSON",
"first_name": "A",
"middle_name": "KEITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2023-03-07",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "034182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000458609A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340014814",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alevinson357547@directwellstar.org",
"affiliation": "N",
"address_1": "55 Whitcher St NE Ste 250",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601169",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 7, 2023; 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.