GREGORY L. ERDELYAN MD PC NPI 1669595526

NPI Information

NPI: 1669595526
Provider Name: GREGORY L. ERDELYAN MD PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address: 1104 HOSPITAL DR
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 289-2003

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NPI Details

GREGORY L. ERDELYAN MD PC is a surgery in Stockbridge, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREGORY L. ERDELYAN MD PC NPI is 1669595526. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1104 HOSPITAL DR
STOCKBRIDGE, GA
ZIP 30281-381
Phone: (678) 289-2003
Fax: (678) 289-0191

The provider's authorized official is Pia Magdalene Berks .
The authorized official title is Biller and has the following contact phone number (770) 378-2449.

The enumeration date for this NPI number is 4/7/2007 and was last updated on 9/10/2012.

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		35864	GEORGIA	No
2	208600000X	Surgery		35864	GEORGIA	Yes

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
1	GRP6188	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE GROUP NUMBER

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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