Active NPI
Andrew R Grucza, M.D.
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 70559
- Practice address
- 235 Peachtree St NE
Suite 2100
Atlanta, GA 30303-1401 - Phone
- (770) 994-9326
- NPI assigned
- Apr 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31914 | AL | |
| Emergency Medicine Physician | 207P00000X | 70559 | GA | Primary |
Addresses
Primary practice location
235 Peachtree St NE
Suite 2100
Atlanta, GA 30303-1401
Mailing address
235 Peachtree St NE
Suite 2100
Atlanta, GA 30303-1401
Phone (770) 994-9326
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 98.74
- Improvement activities
- 0
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31914 | AL | MD | Emergency Medicine Physician |
| 70559 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerginet, LLC | Current | Accepting new patients | |
| Gwinnett Emergency Specialists Observation Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Northside Emergency Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients |
Locations
235 Peachtree St NE
Ste 2100
Atlanta, GA 30303
Phone (770) 994-4747
201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1164480869
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1720373129
-
- Emergency Medicine Physician
- Sandy Springs, GA
- NPI 1285686303
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403913600000",
"number": "1720377237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PEACHTREE ST NE",
"address_2": "SUITE 2100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031401",
"telephone_number": "770-994-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PEACHTREE ST NE",
"address_2": "SUITE 2100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031401",
"telephone_number": "770-994-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUCZA",
"first_name": "ANDREW",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2014-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "31914",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "70559",
"primary": true
}
],
"identifiers": [],
"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 Jun 28, 2014; 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.