NPIMap

Individual provider Active NPI

Alexander Tkeshelashvili Kessler, M.D.

  • Internal Medicine Physician
  • Canton, GA
National Provider Identifier
1518949528
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050647 Issued in GA
Practice address
50 Medical Lane
Canton, GA 30114-2417
Phone
(770) 345-2300
Fax
(770) 345-2330
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 050647 GA
Internal Medicine Physician 207R00000X 050647 GA Primary

Addresses

Primary practice location

50 Medical Lane
Canton, GA 30114-2417

Mailing address

50 Medical LN
Canton, GA 30114-2417
Phone (770) 345-2300

Other identifiers 1

IdentifierTypeStateIssuer
00958009AMedicaidGA

Other names 1

  • Alexander Tkeshelashvili Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000652 GA Practitioner - Internal Medicine 4385713536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

50 Medical LN
Canton, GA 30114-2417
Phone (770) 345-2300

655 Molly LN
Suite 100
Woodstock, GA 30189-6519
Phone (770) 517-1080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.14 of 100Reported as individual
Quality
65.96
Improvement activities
40
Cost
65.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050647GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Georgia, P.C. CurrentSince Mar 18, 2008 Accepting new patients

Locations

50 Medical Ln
Canton, GA 30114
Phone (404) 374-9363

50 Medical Ln
#0
Canton, GA 30114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJGAA/Endpoint/DBJGAA

Organizations & group practices 1

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 11

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1518949528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142417",
            "telephone_number": "770-345-2300",
            "fax_number": "770-345-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL LANE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142417",
            "telephone_number": "770-345-2300",
            "fax_number": "770-345-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ALEXANDER",
        "middle_name": "TKESHELASHVILI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "050647",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00958009A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "TKESHELASHVILI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.