Active NPI
Eugene Harold Hirsh, M.D.
- Gastroenterology Physician
- Atlanta, GA
National Provider Identifier
1710902861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 017825
- Practice address
- 5669 Peachtree Dunwoody Rd NE
Suite 270
Atlanta, GA 30342-1786 - Phone
- (404) 255-1000
- Fax
- (404) 847-0416
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 7, 2023
- 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 | 017825 | GA | Primary |
Addresses
Primary practice location
5669 Peachtree Dunwoody Rd NE
Suite 270
Atlanta, GA 30342-1786
Mailing address
5669 Peachtree Dunwoody Rd NE
Suite 270
Atlanta, GA 30342-1786
Phone (404) 255-1000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00201253A | Medicaid | GA | |
| 000016316 | Other | GA | MEDICAID REF # |
| 4031900 | Other | GA | AETNA |
| 0480739 | Other | GA | CIGNA |
| 151837 | Other | GA | BCBS |
| 30342B002 | Other | GA | TRICARE |
| 319360 | Other | GA | WELLCARE |
| 406061009 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017825 | GA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710902861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5669 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 270",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421786",
"telephone_number": "404-255-1000",
"fax_number": "404-847-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 270",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421786",
"telephone_number": "404-255-1000",
"fax_number": "404-847-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSH",
"first_name": "EUGENE",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "017825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00201253A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID REF #",
"identifier": "000016316",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4031900",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0480739",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "151837",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "30342B002",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "319360",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406061009",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.