Active NPI
Kannan M Narayana, MD
- Neuro-ophthalmology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 73923
- Practice address
- 1240 Jesse Jewell Pkwy SE Ste 400
Gainesville, GA 30501-3861 - Phone
- (770) 534-1117
- Fax
- (770) 503-7285
- NPI assigned
- Oct 22, 2008
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 73923 | GA | |
| Neurology Physician | 2084N0400X | 73923 | GA | |
| Neuro-ophthalmology Physician | 207WX0109X | 73923 | GA | Primary |
Addresses
Primary practice location
1240 Jesse Jewell Pkwy SE Ste 400
Gainesville, GA 30501-3861
Mailing address
1240 Jesse Jewell Pkwy SE Ste 400
Gainesville, GA 30501-3861
Phone (770) 534-1117
Other practice location 1
1120 15th Street
Augusta, GA 30912-0004
Phone (706) 721-8623
Other practice location 2
550 Peachtree St NE
Suite 1850, EMORY MOT building
Atlanta, GA 30308-2208
Phone (404) 778-2020
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
1240 Jesse Fewell Pkwy SE
Suite 500
Gainesville, GA 30501-3861
Phone (770) 536-9864
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
- Northeast Georgia Medical Center, Inc
- Northside Hospital Forsyth
- Northside Hospital Gwinnett
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73923 | GA | MD | Neuro-ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Diagnostic Associates and Clinic, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| The Emory Clinic Pediatric Providers | Past | Accepting new patients | |
| Northeast Georgia Diagnostic Clinic LLC | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507
1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
1240 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (770) 297-1106
1240 Jesse Jewell Pkwy SE
Ste 600
Gainesville, GA 30501
Phone (770) 287-0031
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
Interoperability endpoints
- kannanmysorenarayana@negaidx.allscriptsdirect.net
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Gainesville, GA
- NPI 1144719311
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Multi-Specialty Clinic/Center
- Gainesville, GA
- NPI 1215976634
-
- Pediatric Surgery Physician
- Decatur, GA
- NPI 1720285653
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1629220512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 JESSE JEWELL PKWY SE STE 400",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013861",
"telephone_number": "770-534-1117",
"fax_number": "770-503-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 JESSE JEWELL PKWY SE STE 400",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013861",
"telephone_number": "770-534-1117",
"fax_number": "770-503-7285"
}
],
"practiceLocations": [
{
"address_1": "1120 15th Street",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-8623",
"fax_number": "706-721-1459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Peachtree St NE",
"address_2": "Suite 1850, EMORY MOT building",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303082208",
"country_code": "US",
"telephone_number": "404-778-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NARAYANA",
"first_name": "KANNAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "73923",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "73923",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "GA",
"license": "73923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.