Individual provider Active NPI

Stephen Peyton Prater, MD

  • Clinical Cardiac Electrophysiology Physician
  • Braselton, GA
National Provider Identifier
1821097296
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
041929 Issued in GA
Practice address
1404 River PL Ste 501
Braselton, GA 30517-5600
Phone
(770) 534-2020
Fax
(770) 534-8025
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 041929 GA Primary

Addresses

Primary practice location

1404 River PL Ste 501
Braselton, GA 30517-5600

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

70 Mountain Dr Ste C
Dahlonega, GA 30533-1629
Phone (770) 534-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sprater79594@nghs.gadirect.net Direct

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
I20080206000108 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5193780625 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Heart Center Cardiovascular Disease Current Accepting new patients
Georgia Heart Institute LLC Cardiovascular Disease CurrentSince Jan 8, 2018 Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Jan 26, 2022 Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
St. Joseph'S Hospital Past Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Cardiovascular Disease PastSince Feb 23, 2020 Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients
Allergy and ENT of Ga PastSince Jan 8, 2018 Accepting new patients

Locations

1404 River Pl
Ste 501
Braselton, GA 30517
Phone (770) 212-3268

70 Mountain Dr
Ste C
Dahlonega, GA 30533
Phone (706) 867-0145

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

Interoperability endpoints

  • Direct secure messaging: sprater79594@nghs.gadirect.net

Organizations & group practices 8

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Alabama College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Institute LLC 127 clinicians

Practice addresses (Care Compare)

108 Prominence CT
Suite 210
Dawsonville, GA 30534-6340
Phone (770) 534-2020

1400 River PL
Braselton, GA 30517-5600
Phone (770) 848-8000

1404 River PL
Suite 501
Braselton, GA 30517-5600
Phone (770) 534-2020

200 S Enota Dr NE
Gainesville, GA 30501-3466
Phone (770) 534-2020

288 Big a Rd
Toccoa, GA 30577-6002
Phone (770) 534-2020

316 N Broad St
Winder, GA 30680-2150
Phone (770) 867-3400

4445 S Lee St
Suite 200
Buford, GA 30518-8807
Phone (770) 848-7160

495 Hwy 400
Dahlonega, GA 30533-6823
Phone (770) 534-2020

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 534-2020

900 Sanders Rd
Suite a
Cumming, GA 30041-5960
Phone (770) 886-5184

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237
  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
85.33
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair81

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1821097296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RIVER PL STE 501",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175600",
            "telephone_number": "770-534-2020",
            "fax_number": "770-534-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Mountain Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331629",
            "country_code": "US",
            "telephone_number": "770-534-2020",
            "fax_number": "770-534-8025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATER",
        "first_name": "STEPHEN",
        "middle_name": "PEYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "041929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sprater79594@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1404 River Pl Ste 501",
            "city": "Braselton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305175600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.