Active NPI
Kiran J Kanji, M.D.
- Gastroenterology Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 054761
- Practice address
- 1265 Highway 54 W
Ste 409
Fayetteville, GA 30214-4537 - Phone
- (678) 817-6550
- Fax
- (678) 817-6551
- NPI assigned
- Jun 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 054761 | GA | Primary |
Addresses
Primary practice location
1265 Highway 54 W
Ste 409
Fayetteville, GA 30214-4537
Mailing address
3280 Howell Mill Rd NW Ste T100
Atlanta, GA 30327-4122
Phone (404) 355-3200
Other practice location 1
1665 Highway 34 E
Newnan, GA 30265-2403
Phone (678) 326-4812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453875662A | Medicaid | GA |
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
- Gastroenterology
- Education
- Emory University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 119 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everest Anesthesia LLC | Current | Accepting new patients | |
| Digestive Healthcare of Ga, P.C. | Gastroenterology | Current | Accepting new patients |
| Progressive Anesthesia LLC | Past | Accepting new patients |
Locations
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
3280 Howell Mill Rd NW
Ste T100
Atlanta, GA 30327
Phone (404) 355-3200
15 Reinhardt College Pkwy
Ste 104
Canton, GA 30114
Phone (404) 350-2400
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
660 Cherokee St NE
Ste 250
Marietta, GA 30060
Phone (404) 425-5570
660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (678) 797-8201
1665 Highway 34 E
Newnan, GA 30265
Phone (404) 603-3543
1505 Stone Bridge Pkwy
Ste 100
Woodstock, GA 30189
Phone (404) 425-5570
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1558365247
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1568158418
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
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": "1784851200000",
"number": "1649274234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 HOWELL MILL RD NW STE T100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303274122",
"telephone_number": "404-355-3200",
"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": "678-817-6551"
}
],
"practiceLocations": [
{
"address_1": "1665 Highway 34 E",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302652403",
"country_code": "US",
"telephone_number": "678-326-4812",
"fax_number": "404-350-8795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANJI",
"first_name": "KIRAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "054761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453875662A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.