JOSEPH J JR. GAINES (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1003882036

JOSEPH J JR. GAINES (MD) is a healthcare provider. based in Athens, Georgia. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 028550 (GA). The NPI Number for JOSEPH J JR. GAINES (MD) is 1003882036

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH J JR. GAINES (MD)
NPI
1003882036
Phone
(706) 389-2425
Address
1230 BAXTER ST
Enumeration Date
28 February 2006
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7065487581
Graduation Year
1984 (42 years ago)
PAC ID
0648446310
Group Practice PAC ID
9436120946
Professional Enrollment ID
I20111229000636
Address ID
GA306063712AT1230XSTXX300

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

391 PATHOLOGY in GA

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Provider Addresses for JOSEPH J JR. GAINES (MD)

  • St. Mary's, 1230, Baxter Street, Beechwood Hills, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 30606

    Phone: (706) 389-2425

    Fax: (706) 389-2426

    Type: Location

  • PO BOX 491270

    LAWRENCEVILLE, GA 30049

    Phone: (770) 237-4500

    Fax: (770) 237-4539

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-12-29

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
I20111229000636IPathologyGATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,202866$0
88311Preparation of tissue for examination by removing any calcium present384369$0
88342Special stained specimen slides to examine tissue, initial procedure236191$0
88307Pathology examination of tissue using a microscope, moderately high complexity16289$0
88341Special stained specimen slides to examine tissue, each additional procedure10436$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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Provider's Procedures

JOSEPH J JR. GAINES (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88304Pathology examination of tissue using a microscope, moderately low complexity216197
PATHOLOGYGA88307Pathology examination of tissue using a microscope, moderately high complexity155106
PATHOLOGYGA88342Tissue or cell analysis by immunologic technique475442

Reviews

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Frequently asked questions

Can I verify JOSEPH J JR. GAINES (MD) with an NPI only?
You can start verification with NPI 1003882036 for JOSEPH J JR. GAINES (MD), then check state licensing separately.
Is JOSEPH J JR. GAINES (MD) listed as active for patients and plans?
The listing shows JOSEPH J JR. GAINES (MD) as active in the NPI system.
What healthcare role does JOSEPH J JR. GAINES (MD) hold?
Scheduling teams often label JOSEPH J JR. GAINES (MD) under Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOSEPH J JR. GAINES (MD)?
JOSEPH J JR. GAINES (MD)'s geographic hint is Athens, Georgia in our summary view.
Why does JOSEPH J JR. GAINES (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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