Individual provider Active NPI

Jared W. Shoops, MD

  • Orthopaedic Surgery Physician
  • Suwanee, GA
National Provider Identifier
1396242616
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
100488 Issued in GA
Practice address
4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683
Phone
(404) 575-4500
Fax
(404) 575-4555
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 100488 GA Primary

Addresses

Primary practice location

4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683

Mailing address

4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683
Phone (404) 575-4500

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
I20241021002466 GA Practitioner - Orthopedic Surgery 5193189975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mercer University School of Medicine, 2018
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
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

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

1285 Hembree Rd
200A
Roswell, GA 30076-4995
Phone (770) 475-2710

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

4025 Johns Creek Pkwy
Suite 100
Suwanee, GA 30024-1253
Phone (404) 575-4500

5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022

5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999

758 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3385
Phone (770) 962-4300

758 Old Norcross Rd
Suite 175
Lawrenceville, GA 30046-3386
Phone (678) 985-7190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC Orthopaedic Surgery CurrentSince Aug 9, 2024 Accepting new patients
Resurgens, LLC Orthopaedic Surgery CurrentSince Aug 9, 2024 Accepting new patients

Locations

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

4025 Johns Creek Pkwy
Ste 100
Suwanee, GA 30024
Phone (404) 575-4500

Interoperability endpoints

  • Direct secure messaging: jared.shoops.1@15749.direct.athenahealth.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 and National Provider Directory roles.

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1396242616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 JOHNS CREEK PKWY STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245683",
            "telephone_number": "404-575-4500",
            "fax_number": "404-575-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 JOHNS CREEK PKWY STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245683",
            "telephone_number": "404-575-4500",
            "fax_number": "404-575-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOPS",
        "first_name": "JARED",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "100488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.