Individual provider Active NPI

Jeffrey Joseph Stein, M.D.

  • Vascular Surgery Physician
  • Marietta, GA
National Provider Identifier
1891957627
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
94616 Issued in GA
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

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
370041101MedicaidTX

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
I20230223001299 GA Practitioner - Vascular Surgery 5698082949 Reassigns benefits to 1 organization

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
Vascular Surgical Associates, PCGroup PAC ID 6709862212, 25 clinicians

Practice addresses (Care Compare)

61 Whitcher St NE
Suite 2100
Marietta, GA 30060-1179
Phone (770) 423-0595

Hospital & facility affiliations

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
Leg revascularization (restoring blood flow)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94616GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgical Associates, PC CurrentSince Feb 1, 2023 Accepting new patients
Vascular Surgical Associates, PC Vascular Surgery CurrentSince Feb 1, 2023 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

  • Direct secure messaging: jstein514676@directwellstar.org
  • Direct secure messaging: jeffreystein@pvapa.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.