Active NPI
Bradley Robert Auffarth, MD
- Surgery Physician
- Gainesville, GA
National Provider Identifier
1972506590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 044398
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 536-2323
- Fax
- (770) 536-4947
- NPI assigned
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 044398 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other practice location 1
55 Cantrell Rd Ste 100
Cleveland, GA 30528-1083
Phone (706) 482-0215
Other practice location 2
23 Tipton Dr
Dahlonega, GA 30533-1603
Phone (770) 536-2323
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000775189C | Medicaid | GA | |
| 000775189D | Other | GA | PEACH STATE |
| 000775189O | Medicaid | GA | |
| 01053251 | Other | GA | AMERIGROUP |
| 52636812 | Other | GA | BCBS |
| 571688 | Other | GA | COVENTRY |
| P00416162 | Other | GA | MEDICARE RAILROAD |
| 1771991 | Other | GA | UHC |
| 000775189D | Medicaid | GA | |
| 000775189F | Medicaid | GA | |
| 000775189E | Medicaid | GA | |
| 34602 | Other | GA | WELLCARE |
| 000775189C | Other | GA | PEACH STATE |
| 1690000 | Other | GA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Surgical Associates, LLC | Surgery | Past | Accepting new patients |
Interoperability endpoints
- bradley.auffarth@longstreetclinic.gadirect.net
Organizations & group practices 1
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.
-
- Colon & Rectal Surgery Physician
- Gainesville, GA
- NPI 1649223173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1972506590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-536-2323",
"fax_number": "770-536-4947"
}
],
"practiceLocations": [
{
"address_1": "55 Cantrell Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "GA",
"postal_code": "305281083",
"country_code": "US",
"telephone_number": "706-482-0215",
"fax_number": "706-482-0216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 Tipton Dr",
"address_purpose": "LOCATION",
"city": "Dahlonega",
"state": "GA",
"postal_code": "305331603",
"country_code": "US",
"telephone_number": "770-536-2323",
"fax_number": "770-536-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUFFARTH",
"first_name": "BRADLEY",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "044398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000775189C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "000775189D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000775189O",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01053251",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52636812",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "571688",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00416162",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1771991",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000775189D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000775189F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000775189E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "34602",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "000775189C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1690000",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.