Individual provider Active NPI

Ryan C Chen, M.D.

  • Orthopaedic Surgery Physician
  • Marietta, GA
National Provider Identifier
1427109313
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
062105 Issued in GA
Practice address
61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176
Phone
(770) 422-3290
Fax
(770) 422-0287
NPI assigned
Jan 16, 2007
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 062105 GA Primary

Addresses

Primary practice location

61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176

Mailing address

61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176
Phone (770) 422-3290

Other identifiers 3

IdentifierTypeStateIssuer
452932121EMedicaidGA
452932121AMedicaidGA
452932121DMedicaidGA

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
I20090810000009 GA Practitioner - Orthopedic Surgery 4385718097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 2003
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)

110 Cherokee PL
Cartersville, GA 30121-2954
Phone (770) 386-6300

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

2041 Mesa Valley Way
Suite 100
Austell, GA 30106-6856

270 Chastain NWRD
Kennesaw, GA 30144-3012
Phone (770) 421-8005

4450 Calibre Xing NW
Suite 1225
Acworth, GA 30101-4103
Phone (770) 491-5481

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

61 Whitcher St
Suite 1150
Marietta, GA 30060-1177
Phone (678) 594-4250

61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1177
Phone (770) 422-3290

655 Molly LN
Woodstock, GA 30189-6519
Phone (770) 517-1080

790 Church St NE
Suite 300
Marietta, GA 30060-8940
Phone (770) 422-3290

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062105GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC Orthopaedic Surgery CurrentSince Aug 1, 2009 Accepting new patients
Resurgens, LLC Orthopaedic Surgery CurrentSince Aug 1, 2009 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1225
Acworth, GA 30101
Phone (704) 915-4817

1495 Hickory Flat Hwy
Ste 200
Canton, GA 30115
Phone (678) 505-4455

61 Whitcher St NE
Ste 1100
Marietta, GA 30060
Phone (615) 686-2262

790 Church St NE
Ste 300
Marietta, GA 30060
Phone (770) 422-3290

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

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

2230 Towne Lake Pkwy
Bldg 300
Woodstock, GA 30189
Phone (770) 517-1900

Interoperability endpoints

  • Direct secure messaging: ryan.chen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1427109313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WHITCHER ST NE",
            "address_2": "SUITE 1100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601176",
            "telephone_number": "770-422-3290",
            "fax_number": "770-422-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WHITCHER ST NE",
            "address_2": "SUITE 1100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601176",
            "telephone_number": "770-422-3290",
            "fax_number": "770-422-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "RYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "062105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452932121E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452932121A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452932121D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.