Active NPI
Eric D Gruen, D.P.M.
- Podiatrist
- Dawsonville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD000924
- Practice address
- 400 Dawson Commons Cir Ste 420
Dawsonville, GA 30534 - Phone
- (706) 216-8637
- Fax
- (815) 550-9967
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004948 | NY | |
| Podiatrist | 213E00000X | POD000924 | GA | Primary |
Addresses
Primary practice location
400 Dawson Commons Cir Ste 420
Dawsonville, GA 30534
Mailing address
400 Dawson Commons Cir Ste 420
Dawsonville, GA 30534-6269
Phone (706) 216-8637
Other practice location 1
410 Farmwood Way
Canton, GA 30115-8913
Phone (678) 549-3201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4418670001 | Other | GA | DMERC NUMBER |
| 000925878A | Medicaid | GA | |
| POD000924 | Other | GA | PODIATRY LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Dawson Commons Cir
Suite 420
Dawsonville, GA 30534-6269
Phone (706) 216-8637
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 91 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2558 |
| Removal or shaving of skin growth | 427 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000924 | GA | MD | Clinical Social Worker |
| POD000924 | GA | MD | Podiatrist |
| N004948 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric D. Gruen D.P.M., P.C. | Podiatrist | Current | Accepting new patients |
| Bruce a Pichler DPM PC | Past | Accepting new patients |
Locations
222 Moores Dr
Dahlonega, GA 30533
Phone (706) 864-3045
59 Tipton Dr
Dahlonega, GA 30533
Phone (706) 864-4012
400 Dawson Commons Cir
Ste 420
Dawsonville, GA 30534
Phone (706) 216-8637
Interoperability endpoints
- https://api.platform.athenahealth.com/16085/brand/1/csg/1/fhir/r4
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.
-
- Podiatrist
- Dawsonville, GA
- NPI 1053581009
-
- Foot & Ankle Surgery Podiatrist
- Dahlonega, GA
- NPI 1235498197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1710953088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 DAWSON COMMONS CIR STE 420",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305346269",
"telephone_number": "706-216-8637",
"fax_number": "815-550-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 DAWSON COMMONS CIR STE 420",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "30534",
"telephone_number": "706-216-8637",
"fax_number": "815-550-9967"
}
],
"practiceLocations": [
{
"address_1": "410 Farmwood Way",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301158913",
"country_code": "US",
"telephone_number": "678-549-3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUEN",
"first_name": "ERIC",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004948",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD000924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC NUMBER",
"identifier": "4418670001",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000925878A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRY LICENSE",
"identifier": "POD000924",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.