Individual provider Active NPI

Anthy Demestihas, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1649363532
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
030627 Issued in CT
Practice address
2965 Peachtree Rd NE Unit 1604
Atlanta, GA 30305-3390
Phone
(203) 650-2159
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 90268 GA
Surgery Physician 208600000X 2607 WI
Surgery Physician 208600000X 030627 CT Primary

Addresses

Primary practice location

2965 Peachtree Rd NE Unit 1604
Atlanta, GA 30305-3390

Mailing address

2965 Peachtree Rd NE Unit 1604
Atlanta, GA 30305-3390
Phone (203) 650-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, GA2 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
I20230124001021 WI Practitioner - General Surgery 8123002565 Reassigns benefits to 1 organization
I20250516001645 GA Practitioner - General Surgery 8123002565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3747 Roswell Rd
Marietta, GA 30062-6227

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2607WIMDOptometrist
025310CTMDGeriatric Medicine (Internal Medicine) Physician
90268GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Surgery Current Accepting new patients
Surgical Associates of Connecticut Surgery CurrentSince Jun 27, 1994 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Jul 13, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Nov 13, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Nov 13, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 13, 2020 Accepting new patients
Neighborhood Health, Inc. Surgery CurrentSince Jul 1, 2011 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2660 Main St
Bridgeport, CT 06606
Phone (203) 332-4744

2660 Main St
Ste 216
Bridgeport, CT 06606
Phone (203) 335-0919

2660 Main St
Ste 110
Bridgeport, CT 06606
Phone (203) 332-4744

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

2595 Main St
Stratford, CT 06615
Phone (203) 345-0404

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: ademestihas828783@direct.emplifyhealth.org

Organizations & group practices 11

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 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1649363532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 PEACHTREE RD NE UNIT 1604",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053390",
            "telephone_number": "203-650-2159",
            "fax_number": "203-332-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 PEACHTREE RD NE UNIT 1604",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053390",
            "telephone_number": "203-650-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMESTIHAS",
        "first_name": "ANTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "90268",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "2607",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "030627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.