NPIMap

Individual provider Active NPI

Evangelos J Moraitis, M.D.

  • Internal Medicine Physician
  • Newnan, GA
National Provider Identifier
1619950144
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054868 Issued in GA
Practice address
15 Cavender St
Newnan, GA 30263-1931
Phone
(770) 253-6616
Fax
(770) 254-6017
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054868 GA Primary

Addresses

Primary practice location

15 Cavender St
Newnan, GA 30263-1931

Mailing address

15 Cavender St
Newnan, GA 30263-1931
Phone (770) 253-6616

Other identifiers 1

IdentifierTypeStateIssuer
975007772AMedicaidGA

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
I20040908000901 GA Practitioner - Internal Medicine 4587637541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

2401 Newnan Crossing Blvd E
Suite 200
Newnan, GA 30265-2402
Phone (770) 254-6131

2401 Newnan Crossing Bypass
Suite 110
Newnan, GA 30265-2402
Phone (770) 254-6131

9 Arbor Springs Ter
Suite 500
Newnan, GA 30265-4214
Phone (770) 400-7270

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054868GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Jul 29, 2011 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
West Coast Medical Group Inc Internal Medicine Past Accepting new patients
North Pinellas Internal Medicine Associates, Inc. Internal Medicine PastSince Jul 1, 2002 Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616

2401 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (770) 254-6131

Organizations & group practices 5

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 6

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1619950144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631931",
            "telephone_number": "770-253-6616",
            "fax_number": "770-254-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631931",
            "telephone_number": "770-253-6616",
            "fax_number": "770-254-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAITIS",
        "first_name": "EVANGELOS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "975007772A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.