Individual provider Active NPI

Xiaoqing Guo, MD

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1699776641
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051584 Issued in GA
Practice address
1465 Haw Creek Cir
Suite 703
Cumming, GA 30041-6577
Phone
(770) 781-1560
Fax
(770) 781-1561
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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 051584 GA Primary

Addresses

Primary practice location

1465 Haw Creek Cir
Suite 703
Cumming, GA 30041-6577

Mailing address

1465 Haw Creek Cir
Suite 703
Cumming, GA 30041-6577
Phone (770) 781-1560

Other identifiers 1

IdentifierTypeStateIssuer
403909416BMedicaidGA

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
I20070511000071 GA Practitioner - Internal Medicine 3072619832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1465 Haw Creek Cir E
Suite 703
Cumming, GA 30041-6578
Phone (770) 781-1560

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Gainesville, GA, CCN 117021
  • Tugaloo Home Health Agency, an Amedisy Company Home health agency, Gainesville, GA, CCN 117305
  • Centerwell Home Health Home health agency, Cumming, GA, CCN 117136
  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051584GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guo'S Medical Clinic, LLC Internal Medicine CurrentSince Oct 15, 2008 Accepting new patients
Morehouse Healthcare, Inc. Internal Medicine PastSince Oct 15, 2008 Accepting new patients

Locations

1465 Haw Creek Cir E
Ste 703
Cumming, GA 30041
Phone (770) 781-1560

Organizations & group practices 2

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 8

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1699776641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 HAW CREEK CIR",
            "address_2": "SUITE 703",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416577",
            "telephone_number": "770-781-1560",
            "fax_number": "770-781-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 HAW CREEK CIR",
            "address_2": "SUITE 703",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416577",
            "telephone_number": "770-781-1560",
            "fax_number": "770-781-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "XIAOQING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403909416B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.