ALEXANDER T. GEDEVANISHVILI M.D. – NPI #1578558714
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

ALEXANDER GEDEVANISHVILI is a physician located in LAGRANGE, GA. NPPES has assigned the NPI number 1578558714 to ALEXANDER GEDEVANISHVILI on September 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 7 years ago on Nov 05, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALEXANDER GEDEVANISHVILI below.

NPI Profile for
ALEXANDER T. GEDEVANISHVILI

NPI Number
1578558714
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ALEXANDER T. GEDEVANISHVILI
Credentials
M.D.
Primary location
1602 VERNON RD STE 300
LAGRANGE, GA 30240
Phone: (706) 242-5100 Fax: (706) 812-2454
1 Other location(s):
1551 Doctors Dr
BUILDING 200
Lagrange, GA 30240-4139
Phone: (706) 884-2641
Fax: (706) 884-2353
Mailing address
805 SANDY PLAINS ROAD
MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for ALEXANDER GEDEVANISHVILI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA192405896A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 GA 054099

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1602 VERNON RD STE 300,
LAGRANGE, GA 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ALEXANDER GEDEVANISHVILI is affiliated with the following medical group(s):
  • HOSPITAL
    • TANNER MEDICAL CENTER-EAST ALABAMA
      1032 MAIN STREET SOUTH
      WEDOWEE, AL 36278
    • WELLSTAR WEST GEORGIA MEDICAL CENTER
      1514 VERNON ROAD
      LAGRANGE, GA 30240

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.