Active NPI
Paymon Nourparvar, M.D.
- Urology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 76034
- Practice address
- 55 Whitcher St NE
Suite 160
Marietta, GA 30060-1155 - Phone
- (770) 422-1372
- Fax
- (770) 423-9651
- NPI assigned
- Apr 8, 2011
- Last updated
- Oct 11, 2016
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 76034 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE
Suite 160
Marietta, GA 30060-1155
Mailing address
55 Whitcher St NE
Suite 160
Marietta, GA 30060-1155
Phone (770) 422-1372
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 Compare- Specialty
- Urology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Phone (770) 579-7900
1810 White Cir
Suite 105
Marietta, GA 30066-5836
Phone (678) 797-6820
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
3747 Roswell Rd
Marietta, GA 30062-6227
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
55 Whitcher Nest
Marietta, GA 30060-1169
Phone (770) 428-4475
55 Whitcher St
Suite 260
Marietta, GA 30060-1169
Phone (943) 202-7050
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Douglas Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76034 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
55 Whitcher St NE
Ste 160
Marietta, GA 30060
Phone (770) 590-4180
55 Whitcher St NE
Ste 250
Marietta, GA 30060
Phone (770) 428-3995
Interoperability endpoints
- pnourparvar127972@directwellstar.org
Organizations & group practices 3
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Family Medicine at Vinings Jubilee
- Family Medicine Physician
- Atlanta, GA
- NPI 1710319462
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
dba WellStar North Fulton Hospital
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1750671988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-422-1372",
"fax_number": "770-423-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-422-1372",
"fax_number": "770-423-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURPARVAR",
"first_name": "PAYMON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "76034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.