JASON J HOLBROOK (M.D.) – Internal Medicine Physician, NPI 1073617692

JASON J HOLBROOK (M.D.) is a healthcare provider. based in Roswell, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 44237 (GA). The NPI Number for JASON J HOLBROOK (M.D.) is 1073617692

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JASON J HOLBROOK (M.D.)
NPI
1073617692
Phone
(770) 442-9016
Address
1380 UPPER HEMBREE ROAD
Enumeration Date
12 September 2006
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
77047523772280
Graduation Year
1993 (33 years ago)
PAC ID
9931187648
Group Practice PAC ID
2769465103
Professional Enrollment ID
I20040715000457
Address ID
GA300761146RO1380XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for JASON J HOLBROOK (M.D.)

  • 1380, Upper Hembree Road, Alpharetta, Fulton County, Georgia, 30076, United States

    ROSWELL, GA 30076

    Phone: (770) 442-9016

    Fax: (770) 442-0193

    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 152 Open Payments records for all available years, with a total value of $3,674.

Total Amount is formed as General ($3,674) + Research ($0) + Ownership ($0) = $3,674.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($1,055).

Total Amount

$3,674

General + Research + Ownership

Payments

152

Total payment records

General Amount

$3,674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2004-07-15

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
I20040715000457IInternal MedicineGATBD

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
J0897Injection, denosumab, 1 mg1,14013$0
99214Established patient office or other outpatient visit, 30-39 minutes438259$0
87804Detection test by immunoassay with direct visual observation for influenza virus18083$0
99213Established patient office or other outpatient visit, 20-29 minutes169144$0
99497Advance care planning, first 30 minutes114114$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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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: 2769465103View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineGA
Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to JASON J HOLBROOK (M.D.)?
NPI 1073617692 is assigned to JASON J HOLBROOK (M.D.) under the national enumeration system.
Does this profile mean JASON J HOLBROOK (M.D.) is currently active?
Yes — JASON J HOLBROOK (M.D.) appears active in the national provider directory.
Does JASON J HOLBROOK (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for JASON J HOLBROOK (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JASON J HOLBROOK (M.D.)?
The snapshot lists Roswell, Georgia for JASON J HOLBROOK (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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