Miriam P Gentin, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

53311 Issued in GA

Practice address

4035 Johns Creek Pkwy Ste C
Suwanee, GA 30024-1213

Phone

(678) 450-0202

Fax

(678) 971-6065

NPI assigned

May 23, 2005

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miriam Peled Former name

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

Specialty

Nephrology

Education

Temple University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kidney Care Center of Georgia LLCGroup PAC ID 9638200819, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care North Forsyth Dialysis facility, Cumming, GA, CCN 852563
• Fresenius Medical Care Hall County Dialysis facility, Gainesville, GA, CCN 112621
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
• Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: mgentin16868@direct.acumenmd.com

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.

• Kidney Care Center of Georgia LLC

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1588981187
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresenius Medical Care Hall County, LLC

  dba Fresenius Medical Care Hall County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gainesville, GA
  • NPI 1235520461

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care North Forsyth, LLC

  dba Fresenius Kidney Care North Forsyth

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cumming, GA
  • NPI 1598231177

  Dialysis facility

  Care Compare affiliation Name & address match
• Ehca Johns Creek, LLC

  dba Emory Johns Creek Hospital

  • General Acute Care Hospital
  • Johns Creek, GA
  • NPI 1679632137
  Care Compare affiliation
• NGMC Lumpkin, LLC

  • General Acute Care Hospital
  • Dahlonega, GA
  • NPI 1083174973
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1740283985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202",
            "fax_number": "678-450-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 JOHNS CREEK PKWY STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241213",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Hwy 441",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "30535",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Northside Blvd Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418247",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 River Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175603",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "663 Lanier Park Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012059",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-450-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTIN",
        "first_name": "MIRIAM",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "53311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363219785C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "PELED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Gattis, PA
• Isabella Gaunce, RBT
• Patricia Gauthier, MA CCC-SLP
• Karine Gelin, R PA-C
• Genesis Health Lab LLC
• Gentle Winds Home Care, LLC
• Harry A Gentry, D.D.S.
• Geode Health Iop LLC
• Georgia CVS Pharmacy LLC (CVS Pharmacy #17145)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #05789)

• Nephrology Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.