NPIMap

Individual provider Active NPI

Michael P. Gruber, MD

  • Orthopaedic Surgery Physician
  • Newnan, GA
National Provider Identifier
1902993991
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
038505 Issued in GA
Practice address
1755 Highway 34 E
Suite 2200
Newnan, GA 30265-5631
Phone
(770) 502-2175
Fax
(770) 502-2131
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 038505 GA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 038505 GA

Addresses

Primary practice location

1755 Highway 34 E
Suite 2200
Newnan, GA 30265-5631

Mailing address

1755 Highway 34 E
Suite 2200
Newnan, GA 30265-5631
Phone (770) 502-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000125 GA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8426099128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

125 Grand Oak Dr
Fayetteville, GA 30214-4632
Phone (770) 626-5340

1755 Hwy 34 E
Suite 2200
Newnan, GA 30265-3190
Phone (770) 502-2175

40 Greenway CT
Suite Bandc
Newnan, GA 30265-2326
Phone (770) 502-0195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement71
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Oct 23, 2019 Accepting new patients
Georgia Bone & Joint, LLC Orthopaedic Surgery CurrentSince May 1, 2001 Accepting new patients
Georgia Bone & Joint, LLC Sports Medicine CurrentSince May 1, 2001 Accepting new patients

Locations

125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1755 Highway 34 E
Ste 1300
Newnan, GA 30265
Phone (770) 254-7850

1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151

15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: mgruber@gbj.gwaydirect.com

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1902993991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E",
            "address_2": "SUITE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655631",
            "telephone_number": "770-502-2175",
            "fax_number": "770-502-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E",
            "address_2": "SUITE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655631",
            "telephone_number": "770-502-2175",
            "fax_number": "770-502-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "038505",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "038505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.