Active NPI
Hilton Kupshik
- Anesthesiology Physician
- Atlanta, GA
National Provider Identifier
1841664398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 18995
- Practice address
- 769 W Paces Ferry Rd NW
West Paces Ferry Rd
Atlanta, GA 30327-2656 - Phone
- (404) 668-8895
- NPI assigned
- Nov 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18995 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 18995 | GA |
Addresses
Primary practice location
769 W Paces Ferry Rd NW
West Paces Ferry Rd
Atlanta, GA 30327-2656
Mailing address
769 W Paces Ferry Rd NW
Atlanta, GA 30327-2656
Phone (404) 668-8895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18995 | GA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1841664398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 W PACES FERRY RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272656",
"telephone_number": "404-668-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 W PACES FERRY RD NW",
"address_2": "WEST PACES FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272656",
"telephone_number": "404-668-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPSHIK",
"first_name": "HILTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "18995",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "18995",
"primary": false
}
],
"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 Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.