Active NPI
Seid Gibanica
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1811668452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2600 Century Pkwy NE
Atlanta, GA 30345-3125 - Phone
- (470) 322-1200
- NPI assigned
- Sep 23, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2600 Century Pkwy NE
Atlanta, GA 30345-3125
Mailing address
5567 Prince Phillip Way
Stone Mountain, GA 30087-3323
Phone (404) 271-8609
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 Pleasant Hill Rd
Duluth, GA 30096-4619
Phone (678) 712-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- seid.gibanica.1@21462.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Family Medicine Physician
- Flowery Branch, GA
- NPI 1558974709
-
- Urgent Care Clinic/Center
- McDonough, GA
- NPI 1083249114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1811668452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5567 PRINCE PHILLIP WAY",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873323",
"telephone_number": "404-271-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 CENTURY PKWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453125",
"telephone_number": "470-322-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBANICA",
"first_name": "SEID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 Sep 23, 2021; 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.