ADAM DEAN PORT – Primary Podiatric Medicine Podiatrist, NPI 1033684816

ADAM DEAN PORT is a healthcare provider. based in Snellville, Georgia. specializing in PODIATRY. They hold a License No. POD001397 (GA). The NPI Number for ADAM DEAN PORT is 1033684816

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ADAM DEAN PORT
NPI
1033684816
Phone
(803) 220-9603
Address
2632 COLONY WAY
Enumeration Date
9 October 2018
Last Update Date
19 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068459370
Graduation Year
2017 (9 years ago)
PAC ID
0042633091
Group Practice PAC ID
8022295294
Professional Enrollment ID
I20200708003842
Address ID
GA302413733LA1075XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

432 PODIATRY in GA

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Provider Addresses for ADAM DEAN PORT

  • 2632, Colony Way, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 300782779

    Phone: (803) 220-9603

    Type: Mailing

  • North Decatur Road, Decatur, DeKalb County, Georgia, 30032, United States

    DECATUR, GA 300335918

    Phone: (404) 501-7188

    Fax: (404) 501-2095

    Type: Location

  • 1975 HIGHWAY 54 W STE 205

    PEACHTREE CITY, GA 302694794

    Phone: (678) 902-0457

    Fax: (770) 415-1450

    Type: Mailing

  • 5635 PEACHTREE PKWY STE 100

    NORCROSS, GA 300922823

    Phone: (770) 368-6215

    Fax: (770) 368-6261

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,614.

Total Amount is formed as General ($1,614) + Research ($0) + Ownership ($0) = $1,614.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($510).

Total Amount

$1,614

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2020-07-08

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
I20200708003842IPodiatryGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes346106$0
73630X-ray of foot, minimum of 3 views18272$0
11042Removal of skin and tissue, 20.0 sq cm or less10628$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10325$0
11721Removal of fingernails or toenails, 6 or more nails9751$0
View full utilization report →

Insurance plans in this area (ZIP 30078)

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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: 8022295294View full group profile

Reviews

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Frequently asked questions

What is ADAM DEAN PORT's NPI number?
ADAM DEAN PORT's NPI is 1033684816 — the number used across U.S. healthcare to identify this provider.
Would ADAM DEAN PORT appear as active to a payer?
You can treat ADAM DEAN PORT as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ADAM DEAN PORT?
ADAM DEAN PORT's record emphasizes Primary Podiatric Medicine Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ADAM DEAN PORT?
Travel planning: use Snellville, Georgia as the reference point for ADAM DEAN PORT, then confirm.
Can I trust this NPI listing for ADAM DEAN PORT?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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