Individual provider Active NPI

Michael J. Grupka, MD

  • Gastroenterology Physician
  • Hiram, GA
National Provider Identifier
1497953467
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
060588 Issued in GA
Practice address
148 Bill Carruth Pkwy Ste 200
Hiram, GA 30141
Phone
(678) 741-5000
Fax
(770) 445-9013
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialist of Georgia 35 clinicians

Practice addresses (Care Compare)

148 Bill Carruth Pkwy
Suite 200
Hiram, GA 30141-3756
Phone (678) 741-5000

6002 Professional Pkwy
Suite 200
Douglasville, GA 30134-5627
Phone (678) 741-5000

711 Canton Rd
Suite 300
Marietta, GA 30060-1136
Phone (678) 741-5000

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Hospital & facility affiliations

  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143

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
Colonoscopy54
Upper gastrointestinal (GI) endoscopy for acid reflux71

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
I20091019000516 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 3274670583 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Gastroenterology CurrentSince May 25, 2011 Accepting new patients
Gastrointestinal Diagnostic Endoscopy Woodstock, LLC Current Accepting new patients
Dca Diagnostics, LLC PastSince Jan 1, 2022 Accepting new patients
Atlanta Endoscopy Center Past Accepting new patients

Locations

13 Reinhardt College Pkwy
#200
Canton, GA 30114

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457

148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040

2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317

1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600

118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 741-2317

118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317

Interoperability endpoints

  • Direct secure messaging: michael.grupka@gsg.eclinicaldirectplus.com

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 060588 GA Primary

Addresses

Primary practice location

148 Bill Carruth Pkwy Ste 200
Hiram, GA 30141

Mailing address

711 Canton Rd NE Ste 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Other identifiers 1

IdentifierTypeStateIssuer
483829670CMedicaidGA

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1497953467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608949",
            "telephone_number": "678-741-5000",
            "fax_number": "678-819-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PKWY STE 200",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "678-741-5000",
            "fax_number": "770-445-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPKA",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "060588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483829670C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

Verify at the official NPI Registry.