Jason Scott Andersen, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Hiram, GA
NPI 1992096903 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1992096903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 077927 (GA)
- Practice address
- 148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756 - Phone
- (943) 202-7010
- Fax
- (470) 986-7005
- NPI assigned
- Apr 25, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Temple University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
148 Bill Carruth Pkwy
Hiram, GA 30141-3756
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
4550 Cobb Pkwy N NW
Acworth, GA 30101-4182
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Paulding Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- 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) | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170824001640 | GA | Practitioner - Orthopedic Surgery | 8527366087 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83924 | SC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients |
Locations
148 Bill Carruth Pkwy
Ste 120
Hiram, GA 30141
Phone (770) 443-7136
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Interoperability endpoints
- jandersen498495@directwellstar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 83924 | SC | |
| Orthopaedic Surgery Physician | 207X00000X | 077927 | GA | Yes |
Addresses
Primary practice location
148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756
Mailing address
148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756
Phone (943) 202-7010
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jandersen498495@directwellstar.org | Health Information Exchange (HIE) |
Other providers in Hiram, GA
- Evelyne Ambroise
- Kaitlyn Ambrose
- American Health Imaging of Georgia LLC
- American Hearts & Home
- Vaibhav Amin
- Damisha Andrade
- Nancy Andreycak
- Obianuju Precious Anumba
- Shayan Shuja Anwar
- Sameer Arora
All providers in Hiram, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.