Mariya Cissell, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Dawsonville, GA
NPI 1851746622 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1851746622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 82375 (GA)
- Practice address
- 300 Dawson Commons Cir Ste 310
Dawsonville, GA 30534-6268 - Phone
- (706) 216-2345
- NPI assigned
- Apr 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Florida State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719003502 | GA | Practitioner - Obstetrics/Gynecology | 3476848656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82375 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current |
Accepting new patients | |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients | |
| Crown Mountain Women'S Health | Past |
Accepting new patients |
Locations
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 82375 | GA | Yes |
Addresses
Primary practice location
300 Dawson Commons Cir Ste 310
Dawsonville, GA 30534-6268
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
227 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 720-7733
Other practice location 2
677 Church St
Marietta, GA 30060-1101
Phone (770) 793-5189
Other providers in Dawsonville, GA
- Chestatee Emergent Medical Care
- Tony A. Chester
- Childrens Dentistry of Dawsenville
- Alexander Stuart Christ
- Roman M Cibirka
- Jodi Cofer
- Kelly Lynn Combs
- Commissioner of Roads and Revenue Dawson County
- Comprehensive Internal Medicine at Dawsonville, LLC
- Connell and Kim, O.D. Associates Limited Liability Company
All providers in Dawsonville, GA · Obstetrics & Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.