Individual provider

Charles Kaplan, M.D.

Urology Physician Medicare enrolled

Charles Kaplan, M.D. is an Urology Physician in Austell, GA, registered under NPI 1538261227.

Getting there

The practice address on file is 1700 HOSPITAL SOUTH DR SUITE 201, Austell, GA 30106. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1700 HOSPITAL SOUTH DR SUITE 201, Austell, GA 30106 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
048901 GA Urology Physician primary

This provider holds licence 048901 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Urology
PAC ID
9335212364
Enrollment ID
I20101005000225

Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1538261227 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 2, 2006
Last updatedMar 7, 2023
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 1700 HOSPITAL SOUTH DR
SUITE 201
Austell, GA 30106
(770) 948-7228
Fax (770) 745-1434
Mailing address 1930 BRANNAN RD
Mcdonough, GA 30253
Other identifiers 000879986A · Medicaid (GA)
340019117 · Other (GA)
The last update on file is Mar 7, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1538261227 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 3 8 2 6 1 2 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 6 8 4 6 2 2 4

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1538261227?
NPI 1538261227 is the National Provider Identifier assigned to Charles Kaplan, M.D. in Austell, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact Charles Kaplan, M.D.?
The phone number on file with NPPES is (770) 948-7228, last updated Mar 7, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Charles Kaplan, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1538261227 a valid number?
Yes. 1538261227 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.