Active NPI
Joseph Acquaye, MD
- Urology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 89214
- Practice address
- 420 Delaware St SE
MMC 394
Minneapolis, MN 55455-0341 - Phone
- (612) 625-8364
- NPI assigned
- Apr 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | 89214 | GA | Primary |
Addresses
Primary practice location
420 Delaware St SE
MMC 394
Minneapolis, MN 55455-0341
Mailing address
4904 Timber Ridge Dr Ste 202
Douglasville, GA 30135-1831
Phone (770) 428-4475
Other practice location 1
4904 Timber Ridge Dr Ste 202
Douglasville, GA 30135-1831
Phone (770) 428-4475
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacquaye421201@directwellstar.org | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210726002600 | GA | Practitioner - Urology | 5193068310 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
4904 Timber Ridge Dr
Douglasville, GA 30135-1831
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585
Hospital & facility affiliations
- Wellstar Douglas Medical Center
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar West Georgia Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
4904 Timber Ridge Dr
Ste 202
Douglasville, GA 30135
Phone (770) 949-6548
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Interoperability endpoints
- jacquaye421201@directwellstar.org
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1477907186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 TIMBER RIDGE DR STE 202",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351831",
"telephone_number": "770-428-4475",
"fax_number": "770-999-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MMC 394",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-625-8364"
}
],
"practiceLocations": [
{
"address_1": "4904 Timber Ridge Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301351831",
"country_code": "US",
"telephone_number": "770-428-4475",
"fax_number": "770-999-2754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACQUAYE",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-19",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "89214",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jacquaye421201@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4904 Timber Ridge Dr Ste 202",
"city": "Douglasville",
"state": "GA",
"country_code": "US",
"postal_code": "301351831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.