Active NPI
Gregory L. Charlop, MD
- Anesthesiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A76196
- Practice address
- 3645 High Green Dr
Marietta, GA 30068-2530 - Phone
- (650) 281-1297
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | S9275 | TX | |
| Anesthesiology Physician | 207L00000X | 89911 | GA | |
| Anesthesiology Physician | 207L00000X | A76196 | CA | Primary |
Addresses
Primary practice location
3645 High Green Dr
Marietta, GA 30068-2530
Mailing address
3645 High Green Dr
Marietta, GA 30068-2530
Phone (650) 281-1297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A761960 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, Geffen School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Circle Dr
Hillsboro, TX 76645-2670
Phone (254) 580-8500
180 N Park TRL
Suite 100
Stockbridge, GA 30281-7372
Phone (678) 541-5552
830 Eagles Landing Pkwy
Suite 101
Stockbridge, GA 30281-7366
Phone (402) 779-6135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76196 | CA | MD | Anesthesiology Physician |
| 89911 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Perimeter Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Gi Anesthesia of Georgia LLC | Anesthesiology | Current | Accepting new patients |
| Concordia Anesthesiology, Inc | Anesthesiology | Current | Accepting new patients |
| Coastal Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Precision Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135
180 N Park Trl
Ste 100
Stockbridge, GA 30281
138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
Organizations & group practices 6
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.
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- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Anesthesiology
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- Anesthesiology Physician
- Atlanta, GA
- NPI 1457716516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1558449355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 HIGH GREEN DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682530",
"telephone_number": "650-281-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 HIGH GREEN DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682530",
"telephone_number": "650-281-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLOP",
"first_name": "GREGORY",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "S9275",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "89911",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A76196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A761960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.