Active NPI
Jeffrey Joseph Stein, M.D.
- Vascular Surgery Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 94616
- Practice address
- 61 Whitcher St NE Ste 2100
Marietta, GA 30060-1179 - Phone
- (770) 423-0595
- Fax
- (678) 391-5055
- NPI assigned
- Jul 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | R2752 | TX | |
| Vascular Surgery Physician | 2086S0129X | 94616 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE Ste 2100
Marietta, GA 30060-1179
Mailing address
61 Whitcher St NE Ste 2100
Marietta, GA 30060-1179
Phone (770) 423-0595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370041101 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- State University of Ny Upstate Medical University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 Whitcher St NE
Suite 2100
Marietta, GA 30060-1179
Phone (770) 423-0595
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Paulding Medical Center
- Wellstar Douglas Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94616 | GA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Surgical Associates, PC | Current | Accepting new patients | |
| Vascular Surgical Associates, PC | Vascular Surgery | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Varicose Vein Clinic - Northwest, P.a. | Vascular Surgery | Past | Accepting new patients |
Locations
2041 Mesa Valley Way
Ste 185
Austell, GA 30106
Phone (404) 785-8900
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
130 Riverstone Ter
Ste 100
Canton, GA 30114
Phone (770) 479-4800
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
962 Joe Frank Harris Pkwy SE
Ste 202
Cartersville, GA 30120
Phone (770) 334-8818
690 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
6095 Professional Pkwy
Ste B203
Douglasville, GA 30134
Phone (770) 947-7747
148 Bill Carruth Pkwy
Ste 380
Hiram, GA 30141
Phone (770) 874-0703
60 Chastain Center Blvd NW
Ste 66
Kennesaw, GA 30144
3747 Roswell Rd
Ste 316
Marietta, GA 30062
Phone (678) 626-5420
61 Whitcher St NE
Ste 3150
Marietta, GA 30060
310 Kennestone Hospital Blvd
Marietta, GA 30060
Phone (770) 793-7899
61 Whitcher St NE
Ste 2120
Marietta, GA 30060
Phone (770) 544-1145
61 Whitcher St NE
Ste 2100
Marietta, GA 30060
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
100 Stoneforest Dr
Ste 130
Woodstock, GA 30189
Phone (678) 388-1621
Interoperability endpoints
- jstein514676@directwellstar.org
- jeffreystein@pvapa.allscriptsdirect.net
- jeffreystein@vsa.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Marietta, GA
- NPI 1114083532
-
- Prosthetic/Orthotic Supplier
- Austell, GA
- NPI 1265921183
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1154545986
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1891957627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 2100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601179",
"telephone_number": "770-423-0595",
"fax_number": "678-391-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 2100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601179",
"telephone_number": "770-423-0595",
"fax_number": "678-391-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "JEFFREY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "R2752",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "94616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370041101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.