NPIMap

Individual provider Active NPI

Serge Geffrard, M.D.

  • Hospitalist Physician
  • Stockbridge, GA
National Provider Identifier
1700838273
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
057076 Issued in GA
Practice address
1045 Southcrest Dr
Ste 220
Stockbridge, GA 30281-6113
Phone
(678) 289-1988
NPI assigned
May 16, 2006
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 057076 GA
Specialist 174400000X 1892281 FL
Hospitalist Physician 208M00000X 057076 GA Primary
Pediatric Cardiology Physician 2080P0202X 057076 GA

Addresses

Primary practice location

1045 Southcrest Dr
Ste 220
Stockbridge, GA 30281-6113

Mailing address

1045 Southcrest Drive
Stockbridge, GA 30281-6311
Phone (678) 289-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121226000386 GA Practitioner - Internal Medicine 9032132253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Anemonefish Inpatient Services LLCGroup PAC ID 7012236664, 33 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 253-6985

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1892281FLMDSpecialist
057076GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anemonefish Inpatient Services LLC CurrentSince Nov 23, 2016 Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince Apr 1, 2014 Accepting new patients
Piedmont Newnan Hospital, Inc. Past Accepting new patients
Piedmont Henry Hospital, Inc. Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Florida Radiology Consultants P a Past Accepting new patients
Children's Heart Specialists of Georgia, P.C. Specialist Past Accepting new patients
LMR Imaging Past Accepting new patients
Piedmont Mountainside Hospital, Inc. Past Accepting new patients
Georgia Pediatric Cardiology Pediatric Cardiology Past Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Interoperability endpoints

  • Direct secure messaging: sgeffrard10860@choa.gadirect.net

Organizations & group practices 10

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1700838273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DRIVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816311",
            "telephone_number": "678-289-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR",
            "address_2": "STE 220",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816113",
            "telephone_number": "678-289-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFRARD",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "057076",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "1892281",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "057076",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "057076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.