NPIMap

Individual provider Active NPI

Kirk Alan Paulk, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1639191828
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043739 Issued in GA
Practice address
5885 Glenridge Dr NE
Suite 250
Atlanta, GA 30328-5512
Phone
(404) 252-7226
Fax
(404) 252-8141
NPI assigned
Jul 24, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 043739 GA Primary

Addresses

Primary practice location

5885 Glenridge Dr NE
Suite 250
Atlanta, GA 30328-5512

Mailing address

5885 Glenridge Dr NE
Suite 250
Atlanta, GA 30328-5512
Phone (404) 252-7226

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
I20050523001103 GA Practitioner - Internal Medicine 6103868971 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1720 Peachtree St NW
Suite 422
Atlanta, GA 30309-2448
Phone (404) 733-1936

2600 Compass Rd
Glenview, IL 60026-8001

5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633

5885 Glenridge Dr
Suite 250
Atlanta, GA 30328-6172

5885 Glenridge Dr NE
Suite 250
Atlanta, GA 30328-5512

5885 Glenridge Dr NE
Suite 250
Atlanta, GA 30328-6172
Phone (404) 252-7226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.54 of 100Reported as individual
Quality
84.4
Improvement activities
40
Cost
65.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043739GAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: kirkpaulk@smo-ga.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639191828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285512",
            "telephone_number": "404-252-7226",
            "fax_number": "404-252-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285512",
            "telephone_number": "404-252-7226",
            "fax_number": "404-252-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "KIRK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.