Individual provider Active NPI

Karim Gani, M.D.

  • Gastroenterology Physician
  • Canton, GA
National Provider Identifier
1821070830
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
046761 Issued in GA
Practice address
145 Riverstone Ter
Suite 100
Canton, GA 30114-5317
Phone
(678) 741-2317
Fax
(678) 741-2301
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 046761 GA Primary

Addresses

Primary practice location

145 Riverstone Ter
Suite 100
Canton, GA 30114-5317

Mailing address

1700 Hospital South Dr
Suite 410
Austell, GA 30106-6810
Phone (678) 741-5000

Other identifiers 2

IdentifierTypeStateIssuer
00836239AMedicaidGA
202I109321OtherGAMEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000471 GA Practitioner - Gastroenterology 0749366094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialist of GeorgiaGroup PAC ID 9335032820, 35 clinicians

Practice addresses (Care Compare)

118 Mill St
Suite 100
Woodstock, GA 30188-4880
Phone (678) 741-5000

118 Mill St
Suite 110
Woodstock, GA 30188-4812
Phone (678) 741-5000

13 Reinhardt College Pkwy
Suite 200
Canton, GA 30114-2561
Phone (678) 741-5000

711 Canton Rd
Suite 300
Marietta, GA 30060-1136
Phone (678) 741-5000

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Gastroenterology CurrentSince Apr 1, 2012 Accepting new patients

Locations

1700 Hospital South Dr
Ste 410
Austell, GA 30106
Phone (678) 741-2317

13 Reinhardt College Pkwy
#200
Canton, GA 30114

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457

148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510

711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943

1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600

118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317

118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 741-2317

Interoperability endpoints

  • Direct secure messaging: karim.gani.1@14485.direct.athenahealth.com
  • Direct secure messaging: karim.gani@gsg.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1821070830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR",
            "address_2": "SUITE 410",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066810",
            "telephone_number": "678-741-5000",
            "fax_number": "770-944-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145317",
            "telephone_number": "678-741-2317",
            "fax_number": "678-741-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANI",
        "first_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "046761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00836239A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I109321",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.