Colin J Kress, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

82715 Issued in GA

Practice address

105 Professional Park Dr
Cumming, GA 30040-2381

Phone

(770) 800-3455

Fax

(770) 284-8380

NPI assigned

Jun 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Pain ManagementAlso: Anesthesiology

Education

Lincoln Memorial University Medical Department, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckress@mreedcleaver.emadirect.md

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.

• Mak Anesthesia Georgia, LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1609390103
  Medicare reassignment Care Compare group NPD
• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment Care Compare group NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Cleaver Medical Group Dermatology Inc

  dba Cleaver Medical Group Dermatology

  • Dermatology Physician
  • Cumming, GA
  • NPI 1841852076
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1760896112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PARK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402381",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PARK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402381",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Tipton Dr",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331603",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Prestige Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346370",
            "country_code": "US",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Professional Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300402381",
            "country_code": "US",
            "telephone_number": "770-872-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESS",
        "first_name": "COLIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "82715",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "82715",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "82715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003221751C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhavi Kothapally
• Swachitha Kothapally, MD
• Alena Koval
• Susan Kramer, DMD
• Alyssa Kray, RBT
• Krishi Therapies LLC Foco Physical Therapy
• Jeevana Krishna, M.D.
• Crystal Lynn Kritikos, PT, DPT
• Christy Krohn, PHARMD
• Nicole June Krummel, APRN

• Interventional Pain Medicine Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.