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GRAYSAN KIRK SOUTHERN MD
NPI 1316358484
Obstetrics & Gynecology in Atlanta, GA

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
69 JESSE HILL JR DR SE RM 410, ATLANTA, GA 30303(919) 801-0538 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1316358484
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGRAYSAN KIRK SOUTHERNCredential: MD
Location Address69 JESSE HILL JR DR SE RM 410Atlanta, GA 30303-3033
Mailing Address69 Jesse Hill Jr Dr Se Rm 410Atlanta, GA 30303-3033 · (919) 801-0538
Phone(919) 801-0538
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2014
Enumeration DateMay 12, 2014
Last NPPES UpdateApril 11, 2018
✔ NPI 1316358484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in GA · 80076✔ Licensed in DC · MTL002503
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
69 JESSE HILL JR DR SE RM 410, Atlanta, GA 30303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5294026274
PECOS Enrollment IDI20180919000550
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

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.