Individual provider Active NPI

Gurleen Kaur, M.D.

  • Primary Care Clinic/Center
  • Gainesville, GA
National Provider Identifier
1447529441
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
83998 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-9000
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD048791 DC
Hospitalist Physician 208M00000X 83998 GA
Primary Care Clinic/Center 261QP2300X 83998 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1225 W Lake St
Melrose Park, IL 60160-4039
Phone (708) 681-3000

Other practice location 2

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3333

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gkaur363345@directwellstar.org
Direct Messaging Address gkaur138906@nghs.gadirect.net Direct Northeast Georgia Physicians Group, Inc.

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
I20200122002986 GA Practitioner - Internal MedicinePractitioner - Hospitalist 0244458909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Reliance Medical Center IncGroup PAC ID 2365988508, 2 clinicians
Revive Medical USA IncGroup PAC ID 6507238375, 2 clinicians

Practice addresses (Care Compare)

335 Peachtree Industrial Blvd
Suite 2204
Suwanee, GA 30024-3721
Phone (404) 537-4409

4474 Valtek CT
Suwanee, GA 30024-6209
Phone (678) 379-1731

Hospital & facility affiliations

  • Mesun Home Health Home health agency, Lawrenceville, GA, CCN 117338
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Mesun Hospice, Lawrenceville, GA, CCN 111635
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048791DCMDNephrology Physician
83998GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Medical Center Inc Primary Care CurrentSince May 1, 2024 Accepting new patients
Revive Medical USA Inc Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients

Locations

575 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (404) 731-6033

335 Peachtree Industrial Blvd
Ste 2204
Suwanee, GA 30024
Phone (404) 537-4409

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCFDD
  • Direct secure messaging: gkaur138906@nghs.gadirect.net

Organizations & group practices 2

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 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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1447529441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Melrose Park",
            "state": "IL",
            "postal_code": "601604039",
            "country_code": "US",
            "telephone_number": "708-681-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-3333",
            "fax_number": "202-741-2285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GURLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "MD048791",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "83998",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "83998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkaur363345@directwellstar.org",
            "affiliation": "N",
            "address_1": "303 Parkway Dr NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkaur138906@nghs.gadirect.net",
            "affiliation": "Y",
            "affiliationName": "Northeast Georgia Physicians Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.