NPIMap

Individual provider Active NPI

Jesse Edward Seidman, M.D., F.A.A.O.S.

  • Orthopaedic Surgery Physician
  • Cumming, GA
National Provider Identifier
1356432066
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
035755 Issued in GA
Practice address
318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone
(770) 889-0891
Fax
(770) 889-0354
NPI assigned
Sep 27, 2006
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 035755 GA Primary

Addresses

Primary practice location

318 Tribble Gap Rd
Cumming, GA 30040-2440

Mailing address

318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone (770) 889-0891

Other identifiers 2

IdentifierTypeStateIssuer
035755OtherGALICENSE
00495987DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000164 GA Practitioner - Orthopedic Surgery 9931224268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Academy Orthopedics, LLCGroup PAC ID 9032105044, 3 clinicians

Practice addresses (Care Compare)

100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434
Phone (770) 889-2163

318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone (770) 889-0891

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
68.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Orthopedics, LLC Orthopaedic Surgery CurrentSince Jan 1, 1999 Accepting new patients
Academy Orthopedics, LLC Orthopaedic Surgery CurrentSince Jan 1, 1999 Accepting new patients
Academy Orthopedics, LLC Current Accepting new patients

Locations

3929 Carter Rd
Buford, GA 30518
Phone (678) 992-0258

3929 Carter Rd
Bldg C
Buford, GA 30518
Phone (678) 753-4364

318 Tribble Gap Rd
Cumming, GA 30040
Phone (770) 889-0891

3790 Pleasant Hill Rd
Ste 220
Duluth, GA 30096
Phone (770) 476-1900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4022/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGBBCD/Endpoint/GGBBCD
  • Direct secure messaging: jesse.seidman@acadorth.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1356432066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 TRIBBLE GAP RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402440",
            "telephone_number": "770-889-0891",
            "fax_number": "770-889-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 TRIBBLE GAP RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402440",
            "telephone_number": "770-889-0891",
            "fax_number": "770-889-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "JESSE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.O.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "035755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "035755",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00495987D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.