Individual provider Active NPI

Luis Antonio Quinones, M.D.

  • Surgery Physician
  • Decatur, GA
National Provider Identifier
1629397708
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
076117 Issued in GA
Practice address
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone
(404) 501-1000
NPI assigned
May 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 76117 GA
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 076117 GA Primary

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Mailing address

5900 Hillandale Dr Ste 320
Lithonia, GA 30058-3804
Phone (678) 587-4882

Other practice location 1

5900 Hillandale Dr Ste 320
Lithonia, GA 30058-3804
Phone (678) 587-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VI2 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
I20161018002772 GA Practitioner - General Surgery 2062714611 Reassigns benefits to 2 organizations
I20191220002435 VI Practitioner - General Surgery 2062714611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Davis School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5900 Hillandale Dr
Suite 320
Lithonia, GA 30058-3804
Phone (678) 857-4882

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076117GAMDSurgery Physician
76117GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 28, 2019 Accepting new patients
Quinones & Sanchez LLC Surgery CurrentSince Sep 20, 2019 Accepting new patients
Atlanta Surgery Associates LLC Surgery CurrentSince Apr 5, 2017 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 28, 2019 Accepting new patients

Locations

550 Peachtree St NE
Ste 1430
Atlanta, GA 30308
Phone (404) 221-1095

550 Peachtree St NE
Ste 1265
Atlanta, GA 30308
Phone (404) 221-1095

5900 Hillandale Dr
Ste 320
Lithonia, GA 30058
Phone (678) 633-2877

1014 Hospital Dr
Stockbridge, GA 30281
Phone (404) 221-1095

145 Northpark Trl
Stockbridge, GA 30281
Phone (770) 389-1703

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDADD/Endpoint/JFDADD

Organizations & group practices 4

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1629397708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR STE 320",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583804",
            "telephone_number": "678-587-4882",
            "fax_number": "678-924-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Hillandale Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300583804",
            "country_code": "US",
            "telephone_number": "678-587-4882",
            "fax_number": "678-924-8456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "76117",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "076117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.