GRAYSAN KIRK SOUTHERN MD
NPI 1316358484
Obstetrics & Gynecology in Atlanta, GA
About Graysan Kirk Southern Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAYSAN KIRK SOUTHERN MD (NPI 1316358484) is an individual obstetrics & gynecology provider in Atlanta, Georgia, licensed in Georgia (80076) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Georgetown University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Graysan Kirk Southern Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Graysan Southern reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Graysan Southern's NPI number?
The NPI number for Graysan Southern is 1316358484. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is Graysan Southern located?
Graysan Southern practices at 69 Jesse Hill Jr Dr SE Rm 410, Atlanta, GA 30303. The listed phone number is (919) 801-0538.
What is Graysan Southern's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Graysan Southern enrolled in Medicare?
Yes. Graysan Southern is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Graysan Southern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Graysan Southern reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Graysan Southern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Graysan Southern accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Graysan Southern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Graysan Southern affiliated with any hospitals?
According to CMS data, Graysan Southern is affiliated with Emory Decatur Hospital and Emory University Hospital Midtown.
When was this NPI record last updated?
The NPPES record for Graysan Southern was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Graysan Kirk Southern, MD · NPI 1316358484
Obstetrics & Gynecology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1316358484 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 80076 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 69 JESSE HILL JR DR SE RM 410, Atlanta, GA 30303-3033
- **Phone:** (919) 801-0538
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emory Medical Care Foundation Inc (NPI 1063678563, Atlanta, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** April 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1316358484) · Data from the CMS NPPES public registry.