Active NPI
Joel Joseph Pranckun, D.O.
- Orthopaedic Surgery Physician
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 83629
- Practice address
- 900 Towne Lake Pkwy Ste 320
Woodstock, GA 30189-1604 - Phone
- (770) 517-6636
- Fax
- (770) 517-6568
- NPI assigned
- May 21, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 83629 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
900 Towne Lake Pkwy Ste 320
Woodstock, GA 30189-1604
Mailing address
7200 Cambridge St Ste 10a
Houston, TX 77030-4202
Phone (713) 986-7396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NCOSM@Northside.gwaydirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Yadkin St
Suite 101
Albemarle, NC 28001-3450
Phone (980) 323-5425
9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027
Hospital & facility affiliations
- Stanly Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83629 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Physicians Network, Inc | Past | Accepting new patients | |
| Mercy Health Physicians Cincinnati, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
105 Yadkin St
Ste 101
Albemarle, NC 28001
Phone (704) 474-3171
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
Interoperability endpoints
- jpranckun1237538@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
-
- Orthopaedic Surgery Physician
- Albemarle, NC
- NPI 1336543495
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1205887023
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1972949519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CAMBRIDGE ST STE 10A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304202",
"telephone_number": "713-986-7396",
"fax_number": "713-986-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY STE 320",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891604",
"telephone_number": "770-517-6636",
"fax_number": "770-517-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRANCKUN",
"first_name": "JOEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "83629",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NCOSM@Northside.gwaydirect.com",
"affiliation": "N",
"endpointDescription": "direct messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct edge",
"address_1": "900 Towne Lake Pkwy Ste 320",
"city": "Woodstock",
"state": "GA",
"country_code": "US",
"postal_code": "301891604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.