Individual provider Active NPI

Steven J McCuiston, M.D.

  • Internal Medicine Physician
  • Tucker, GA
National Provider Identifier
1659369338
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031788 Issued in GA
Practice address
4905A Lavista Rd
Tucker, GA 30084-4437
Phone
(770) 493-4620
Fax
(770) 270-5301
NPI assigned
Oct 7, 2005
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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 031788 GA Primary

Addresses

Primary practice location

4905A Lavista Rd
Tucker, GA 30084-4437

Mailing address

4905A Lavista Rd
Tucker, GA 30084-4437
Phone (770) 493-4620

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
I20080902000364 GA Practitioner - Internal Medicine 0547336356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Clinic, PCGroup PAC ID 8426949587, 23 clinicians

Practice addresses (Care Compare)

5246 Peachtree Pkwy
Peachtree Corners, GA 30092-2234
Phone (770) 903-0144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031788GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Clinic, PC CurrentSince Jan 1, 2020 Accepting new patients
Gwinnett Cardiology Services LLC Past Accepting new patients

Locations

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

5246 Peachtree Pkwy
Peachtree Corners, GA 30092
Phone (678) 805-7981

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

6330 Primrose Hill Ct
Ste 102
Peachtree Corners, GA 30092
Phone (770) 903-0144

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1659369338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905A LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844437",
            "telephone_number": "770-493-4620",
            "fax_number": "770-270-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905A LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844437",
            "telephone_number": "770-493-4620",
            "fax_number": "770-270-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUISTON",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.