Individual provider Active NPI

Suku George, MD., MPH.

  • Gastroenterology Physician
  • Marietta, GA
National Provider Identifier
1619952777
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
054377 Issued in GA
Practice address
711 Canton Rd NE
Suite 300
Marietta, GA 30060
Phone
(678) 741-5000
Fax
(678) 819-4280
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 054377 GA Primary

Addresses

Primary practice location

711 Canton Rd NE
Suite 300
Marietta, GA 30060

Mailing address

711 Canton Rd NE Ste 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Other identifiers 1

IdentifierTypeStateIssuer
804904579DMedicaidGA

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
I20040510000493 GA Practitioner - Gastroenterology 2860481488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialist of Georgia 35 clinicians

Practice addresses (Care Compare)

2550 Windy Hill Rd SE
Marietta, GA 30067-8655
Phone (678) 741-5000

711 Canton Rd
Suite 300
Marietta, GA 30060-1136
Phone (678) 741-5000

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Gastroenterology CurrentSince Dec 15, 2008 Accepting new patients
Gi Diagnostics Endoscopy Center, LLC PastSince Jul 1, 2006 Accepting new patients
NW Georgia Gastroenterology Associates,PC Past Accepting new patients

Locations

13 Reinhardt College Pkwy
#200
Canton, GA 30114

6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040

2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943

1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600

118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 741-2317

118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317

Interoperability endpoints

  • Direct secure messaging: suku.george@gsg.eclinicaldirectplus.com

Organizations & group practices 3

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 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1619952777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608949",
            "telephone_number": "678-741-5000",
            "fax_number": "678-819-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "678-741-5000",
            "fax_number": "678-819-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SUKU",
        "credential": "MD., MPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "054377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804904579D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.