Active NPI
Paul Charles Guichard, DO
- Interventional Cardiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 54386
- Practice address
- 55 Whitcher St NE
Suite 350
Marietta, GA 30060-1155 - Phone
- (770) 424-6893
- Fax
- (770) 528-9938
- NPI assigned
- Oct 20, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 54386 | GA | |
| Nuclear Cardiology Physician | 207UN0901X | 54386 | GA | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 54386 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 54386 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE
Suite 350
Marietta, GA 30060-1155
Mailing address
55 Whitcher St NE
Suite 350
Marietta, GA 30060-1155
Phone (770) 424-6893
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 579075630S | Medicaid | GA | |
| 579075630X | Medicaid | GA | |
| 579075630U | Medicaid | GA | |
| 579075630R | Medicaid | GA | |
| 579075630T | Medicaid | GA | |
| 579075630V | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pguichard28538@directwellstar.org |
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
- Interventional Cardiology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Hospital S Dr
Suite 202
Austell, GA 30106-8116
Phone (770) 944-7818
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar Douglas Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54386 | GA | MD | Nuclear Imaging & Therapy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| University Internal Medicine Associates, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| West Chester Hospital LLC | Past | Accepting new patients | |
| Ohio Heart and Vascular Center, Inc | Cardiovascular Disease | Past | Accepting new patients |
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients | |
| Saint Josephs Hospital of Atlanta Inc | Past | Accepting new patients |
Locations
1700 Hospital South Dr
Ste 202
Austell, GA 30106
Phone (770) 793-7440
720 Transit Ave
Ste 102
Canton, GA 30114
Phone (770) 426-4721
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
55 Whitcher St NE
Ste 350
Marietta, GA 30060
55 Whitcher St NE
Ste 160
Marietta, GA 30060
Phone (770) 590-4180
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
120 Stonebridge Pkwy
Ste 440
Woodstock, GA 30189
Phone (770) 250-7199
Interoperability endpoints
- pguichard28538@directwellstar.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Student Health Clinic/Center
- Kennesaw, GA
- NPI 1790100170
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1356392070
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
Cardiovascular Disease
-
- Community/Retail Pharmacy
- West Chester, OH
- NPI 1912285115
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1649269796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 350",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-424-6893",
"fax_number": "770-528-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 350",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-424-6893",
"fax_number": "770-528-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUICHARD",
"first_name": "PAUL",
"middle_name": "CHARLES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "54386",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "GA",
"license": "54386",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "GA",
"license": "54386",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "54386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579075630S",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579075630X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579075630U",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579075630R",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579075630T",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579075630V",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pguichard28538@directwellstar.org",
"affiliation": "N",
"address_1": "55 Whitcher St NE",
"address_2": "Suite 350",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.