Active NPI
Elias Dagnew, M.D.
- Neurological Surgery Physician
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME96941
- Practice address
- 9635 Ventana Way Ste 201
Johns Creek, GA 30022-8622 - Phone
- (404) 446-4424
- Fax
- (404) 446-4420
- NPI assigned
- Jun 24, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 054606 | GA | |
| Neurological Surgery Physician | 207T00000X | ME96941 | FL | |
| Neurological Surgery Physician | 207T00000X | ME96941 | GA | Primary |
Addresses
Primary practice location
9635 Ventana Way Ste 201
Johns Creek, GA 30022-8622
Mailing address
11877 Douglas Rd
Suite 102-272
Alpharetta, GA 30005-4325
Phone (404) 446-4424
Other practice location 1
203 Oakside Ln Ste A
Canton, GA 30114-6407
Phone (404) 446-4424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838984626A | Medicaid | GA | |
| 277245100 | Medicaid | FL |
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
- Neurosurgery
- Education
- Washington University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
4700 Nelson Brogdon Blvd
Buford, GA 30518-5401
Phone (770) 271-3188
9635 Ventana Way
Suite 201
Johns Creek, GA 30022-8622
Phone (404) 446-4424
Hospital & facility affiliations
- Emory Johns Creek Hospital
- Piedmont Mountainside Hospital Inc
- Union General Hospital
- Adventhealth Murray
- Saint Joseph'S Hospital of Atlanta, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 25 |
| Laminectomy or laminotomy (partial removal of spine bones) | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96941 | FL | MD | Neurological Surgery Physician |
| 054606 | GA | MD | Neurological Surgery Physician |
| ME96941 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Brain & Spine Center | Neurological Surgery | Current | Accepting new patients |
| Atlanta Neurosurgical Associates, P.a. | Neurological Surgery | Past | Accepting new patients |
| Memorial Neurosurgery Group LLC | Neurological Surgery | Past | Accepting new patients |
Locations
203 Oakside Ln
Ste E
Canton, GA 30114
203 Oakside Ln
Ste A
Canton, GA 30114
Phone (404) 446-4424
203 Oakside Ln
Ste C
Canton, GA 30114
Phone (470) 410-7911
9635 Ventana Way
Ste 201
Johns Creek, GA 30022
Phone (404) 446-4424
11877 Douglas Rd
#102272
Johns Creek, GA 30005
11877 Douglas Rd
Ste 102272
Johns Creek, GA 30005
9635 Ventana Way
Johns Creek, GA 30022
5491 Roswell Rd
Ste B
Sandy Springs, GA 30342
Phone (404) 252-6662
4385 Johns Creek Pkwy
Ste 200
Suwanee, GA 30024
Phone (770) 349-9861
4355 Johns Creek Pkwy
Ste 520
Suwanee, GA 30024
Phone (404) 446-4424
Interoperability endpoints
- elias.dagnew.p2@direct.aicaorthopedics.nextgenshare.com
- elias.dagnew.p1@direct.aicaorthopedics.nextgenshare.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.
-
- Neurological Surgery Physician
- Johns Creek, GA
- NPI 1871723684
-
- Neurological Surgery Physician
- Decatur, GA
- NPI 1164503132
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1487860284
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
-
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1962408930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11877 DOUGLAS RD",
"address_2": "SUITE 102-272",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054325",
"telephone_number": "404-446-4424",
"fax_number": "404-446-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9635 VENTANA WAY STE 201",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300228622",
"telephone_number": "404-446-4424",
"fax_number": "404-446-4420"
}
],
"practiceLocations": [
{
"address_1": "203 Oakside Ln Ste A",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301146407",
"country_code": "US",
"telephone_number": "404-446-4424",
"fax_number": "404-446-4420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAGNEW",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "054606",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME96941",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "ME96941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "838984626A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277245100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.