Individual provider Active NPI

Arthur Abraham Grigorian, M.D.

  • Neurological Surgery Physician
  • Atlanta, GA
National Provider Identifier
1982659371
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
048632 Issued in GA
Practice address
285 Boulevard NE Ste 415
Atlanta, GA 30312
Phone
(404) 265-4400
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 048632 GA
Neurological Surgery Physician 207T00000X 048632 GA Primary

Addresses

Primary practice location

285 Boulevard NE Ste 415
Atlanta, GA 30312

Mailing address

805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340

Other practice location 1

840 Pine St
Suite 880
Macon, GA 31201-2100
Phone (478) 743-7092

Other practice location 2

840 Pine St
Suite 880
Macon, GA 31201-2100
Phone (478) 743-7092

Other identifiers 1

IdentifierTypeStateIssuer
00865235AMedicaidGA

Other names 1

  • Arthur Abraham Grigorian Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agrigorian147937@directwellstar.org

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
I20100216000008 GA Practitioner - Neurosurgery 8123162195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Georgia Neurosurgical Institute, P.CGroup PAC ID 7517958234, 22 clinicians

Practice addresses (Care Compare)

2500 Hospital Blvd
Roswell, GA 30076-4947

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

840 Pine St
Suite 880
Macon, GA 31201-7525
Phone (478) 743-7092

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion15
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Georgia Neurosurgical Institute, P.C. Neurological Surgery CurrentSince Jul 15, 2000 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Wellstar North Fulton Hospital, Inc Past Accepting new patients

Locations

285 Boulevard NE
Ste 415
Atlanta, GA 30312
Phone (404) 265-4400

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

840 Pine St
Ste 880
Macon, GA 31201
Phone (478) 743-7092

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Organizations & group practices 5

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 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1982659371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 415",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "404-265-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Pine St",
            "address_2": "Suite 880",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012100",
            "country_code": "US",
            "telephone_number": "478-743-7092",
            "fax_number": "478-743-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Pine St",
            "address_2": "Suite 880",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012100",
            "country_code": "US",
            "telephone_number": "478-743-7092",
            "fax_number": "478-743-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGORIAN",
        "first_name": "ARTHUR",
        "middle_name": "ABRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "048632",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "048632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00865235A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrigorian147937@directwellstar.org",
            "affiliation": "N",
            "address_1": "285 Boulevard NE Ste 415",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303124210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARTHUR",
            "last_name": "GRIGORIAN",
            "middle_name": "ABRAHAM",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.