Individual provider Active NPI

David M Gryboski, M.D.

  • Gastroenterology Physician
  • Fayetteville, GA
National Provider Identifier
1639173297
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
035060 Issued in GA
Practice address
1265 Highway 54 W
Ste 409
Fayetteville, GA 30214-4537
Phone
(678) 817-6550
Fax
(678) 881-6551
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 035060 GA Primary

Addresses

Primary practice location

1265 Highway 54 W
Ste 409
Fayetteville, GA 30214-4537

Mailing address

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309-1751
Phone (404) 603-3543

Other identifiers 1

IdentifierTypeStateIssuer
00659128DMedicaidGA

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
I20101227000461 GA Practitioner - Gastroenterology 6406040641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Connecticut School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Healthcare of GeorgiaGroup PAC ID 7012904394, 33 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite T100
Atlanta, GA 30327-4122
Phone 40460335431516

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
Colonoscopy307
Upper gastrointestinal (GI) endoscopy for acid reflux577

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Healthcare of Ga, P.C. Gastroenterology CurrentSince Jun 1, 2001 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients
Summit Endoscopy Center PastSince Jan 1, 2025 Accepting new patients
Progressive Anesthesia LLC PastSince Jan 1, 2013 Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste T100
Atlanta, GA 30327
Phone (404) 355-3200

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240

1265 Highway 54 W
Ste 409
Fayetteville, GA 30214
Phone (678) 817-6550

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (678) 797-8201

1665 Highway 34 E
Newnan, GA 30265
Phone (404) 603-3543

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.

Hospital & facility affiliations 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1639173297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "STE 4075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091751",
            "telephone_number": "404-603-3543",
            "fax_number": "404-350-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W",
            "address_2": "STE 409",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144537",
            "telephone_number": "678-817-6550",
            "fax_number": "678-881-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYBOSKI",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "035060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00659128D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.