DR. GREGORY L ERDELYAN (M.D.) – Surgery Physician, NPI 1295786234

DR. GREGORY L ERDELYAN (M.D.) is a healthcare provider. based in Stockbridge, Georgia. specializing in GENERAL SURGERY, THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 35864 (GA). The NPI Number for DR. GREGORY L ERDELYAN (M.D.) is 1295786234

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY L ERDELYAN (M.D.)
NPI
1295786234
Phone
(678) 289-2003
Address
1104 HOSPITAL DR.
Enumeration Date
15 May 2006
Last Update Date
10 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
4702374232
Graduation Year
1984 (42 years ago)
PAC ID
5395643407
Group Practice PAC ID
1052665957
Professional Enrollment ID
I20031230000515
Address ID
GA300301736DE495XXWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for DR. GREGORY L ERDELYAN (M.D.)

  • 1104, Hospital Drive, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302816381

    Phone: (678) 289-2003

    Fax: (678) 289-0191

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $13,304.

Total Amount is formed as General ($13,304) + Research ($0) + Ownership ($0) = $13,304.

Last reported payment date: 2023-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($13,175).

Total Amount

$13,304

General + Research + Ownership

Payments

4

Total payment records

General Amount

$13,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031230000515IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93970Ultrasound study of arm or leg veins with compression and maneuvers10194$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers4727$0
99212Established patient office or other outpatient visit, 10-19 minutes4644$0
99202New patient office or other outpatient visit, 15-29 minutes2424$0
99213Established patient office or other outpatient visit, 20-29 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052665957View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryFL

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Frequently asked questions

Does DR. GREGORY L ERDELYAN (M.D.) have a public NPI I can cite?
Public records show DR. GREGORY L ERDELYAN (M.D.) under NPI 1295786234.
Is DR. GREGORY L ERDELYAN (M.D.)'s NPI status active today?
Active status means DR. GREGORY L ERDELYAN (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. GREGORY L ERDELYAN (M.D.)?
NPPES ties DR. GREGORY L ERDELYAN (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. GREGORY L ERDELYAN (M.D.)?
DR. GREGORY L ERDELYAN (M.D.) is associated with Stockbridge, Georgia in the same public data insurers reference.
Can I export DR. GREGORY L ERDELYAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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