NPIMap

Individual provider Active NPI

Kalpesh Mistry, MD

  • Family Medicine Physician
  • Toccoa, GA
National Provider Identifier
1740717669
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83153 Issued in GA
Practice address
115 Rock Quarry Rd
Toccoa, GA 30577-8734
Phone
(706) 282-5815
Fax
(706) 898-5716
NPI assigned
May 23, 2017
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83153 GA Primary

Addresses

Primary practice location

115 Rock Quarry Rd
Toccoa, GA 30577-8734

Mailing address

163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4200

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
I20200709000300 GA Practitioner - Family Practice 3971879248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Rock Quarry Rd
Toccoa, GA 30577-8734
Phone (706) 282-5815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as individual
Quality
55.35
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83153GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Physician Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Stephens County Hospital Physician Group LLC CurrentSince Jul 1, 2020 Accepting new patients
Stephens County Hospital Physician Group, LLC Past Accepting new patients
Stephens County Hospital Physician Group, LLC Past Accepting new patients

Locations

1025 Falls Rd
Toccoa, GA 30577
Phone (706) 282-4200

115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

Interoperability endpoints

  • Direct secure messaging: kalpesh.mistry.1@14936.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1740717669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ROCK QUARRY RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305778734",
            "telephone_number": "706-282-5815",
            "fax_number": "706-898-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "KALPESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.