DR. JASON ALEXANDER PETROFSKI MD NPI 1568508893

NPI Information

  • NPI: 1568508893
  • Provider Name: DR. JASON ALEXANDER PETROFSKI, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1505 NORTHSIDE BLVD
    SUITE 1900
    CUMMING, GA
    ZIP 30041
  • Phone: (678) 341-3764

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NPI Details

DR. Jason Alexander Petrofski, MD is a colon rectal surgery in Cumming, GA with 27 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Jason Alexander Petrofski, MD NPI is 1568508893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1505 NORTHSIDE BLVD
SUITE 1900
CUMMING, GA
ZIP 30041-623
Phone: (678) 341-3764
Fax: (678) 341-3769

The NPI 1568508893 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of external hemorrhoids by rubber banding (HCPCS:46221)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of anus using an endoscope (HCPCS:46600)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal Surgery059311GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1236918506EMEDICAIDGEORGIA
2236918506DMEDICAIDGEORGIA
3236918506AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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