Individual provider Active NPI

Gregory L. Charlop, MD

  • Anesthesiology Physician
  • Marietta, GA
National Provider Identifier
1558449355
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A76196 Issued in CA
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

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A761960MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210805002137 TX Practitioner - Anesthesiology 3375583545 Reassigns benefits to 1 organization
I20210930002134 GA Practitioner - Anesthesiology 3375583545 Reassigns benefits to 6 organizations

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
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Precision Anesthesia Partners LLCGroup PAC ID 5991193088, 20 clinicians

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

LicenseStateTypeSpecialty
A76196CAMDAnesthesiology Physician
89911GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Perimeter Anesthesia LLC Anesthesiology CurrentSince Jan 16, 2023 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Jun 13, 2022 Accepting new patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Precision Anesthesia Partners LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince May 1, 2021 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.

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

Verify at the official NPI Registry.