Individual provider Active NPI

Andrew Craig Wickliffe, MD

  • Clinical Cardiac Electrophysiology Physician
  • Atlanta, GA
National Provider Identifier
1568414688
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
047868 Issued in GA
Practice address
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone
(404) 605-2800
Fax
(404) 351-5983
NPI assigned
May 17, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 047868 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X 047868 GA Primary

Addresses

Primary practice location

275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709

Mailing address

275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone (404) 605-2800

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
I20060523000019 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1759392111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Emory University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W
Suite 4100
Fayetteville, GA 30214-2112
Phone (770) 506-5470

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

191 Deep S Farm Rd
Blairsville, GA 30512-2220
Phone (706) 439-6380

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2145 Slater Mill Rd
Douglasville, GA 30135-1205
Phone (678) 715-3334

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

3820 Medical Park Dr
Suite 2200
Austell, GA 30106-1110
Phone (770) 941-7741

400 Tower Rd NE
Suite 110
Marietta, GA 30060-9417
Phone (770) 720-2383

795 Poplar Rd
Suite 400
Newnan, GA 30265-2590
Phone (770) 254-6089

95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000

95 Collier Rd NW
Suite 6000
Atlanta, GA 30309-1796
Phone (404) 605-2888

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 490-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jun 15, 2009 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562

95 Collier Rd NW
#2035
Atlanta, GA 30309
Phone (404) 355-6562

95 Collier Rd NW
Ste 2075
Atlanta, GA 30309
Phone (404) 355-6562

95 Collier Rd NW
Ste 3000
Atlanta, GA 30309
Phone (404) 605-5140

95 Collier Rd NW
Ste 6000
Atlanta, GA 30309
Phone (404) 605-2888

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

1267 Highway 54 W
Ste 4100
Fayetteville, GA 30214
Phone (770) 506-5470

1267 Highway 54 W
Ste 5200
Fayetteville, GA 30214
Phone (770) 719-5601

220 J L White Dr
Ste 100
Jasper, GA 30143
Phone (706) 253-8001

6115 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30328
Phone (404) 851-5400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1568414688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLIFFE",
        "first_name": "ANDREW",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "047868",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "047868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.