NPIMap

Organization Active NPI

QSM-Ga, Inc

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1356852123
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
QSM-GA, INC
Practice address
2645 Whiting St NW
Atlanta, GA 30318-4563
Phone
(800) 226-8874
Fax
(305) 466-9989
NPI assigned
Oct 19, 2017
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Steven Magilen, MDNPI 1568428266
Title
Ceo/Owner
Phone
(305) 466-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Wound Care Registered Nurse 163WW0000X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

2645 Whiting St NW
Atlanta, GA 30318-4563

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988

Other practice location 1

619 Northside Dr Ste 209
Griffin, GA 30223-1402
Phone (800) 226-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180119000529 GA Part B Supplier - Clinic/Group Practice 3779842729 Receives reassigned benefits from 33 practitioners

National Provider Directory

National Provider Directory

Locations

3235 Deans Bridge Rd
Augusta, GA 30906
Phone (706) 798-1430

101 Hartford Rd E
Fort Gaines, GA 39851

99 Hill Haven Rd
Greenville, GA 30222
Phone (706) 672-4241

2795 Finney Cir
Macon, GA 31217
Phone (478) 742-1117

856 US Highway 1 S
Swainsboro, GA 30401
Phone (478) 237-7022

210 Main St
Toomsboro, GA 31090
Phone (478) 933-5395

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1356852123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 WHITING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184563",
            "telephone_number": "800-226-8874",
            "fax_number": "305-466-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Northside Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302231402",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "fax_number": "877-366-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QSM-GA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "MAGILEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "305-466-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.