DR. BELKIS PIMENTEL (MD) – Family Medicine Physician, NPI 1093763708
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for DR. BELKIS PIMENTEL (MD)
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL OFFICE
JONESBORO, GA 30236
Phone: (770) 603-3632
Type: Location
3495, Piedmont Road Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States
NINE PIEDMONT CENTER
ATLANTA, GA 303051717
Phone: (404) 364-7000
Type: Mailing
2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD MEDICAL OFFICE
JONESBORO, GA 302362500
Phone: (770) 603-3632
Type: Location
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: 2009-11-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091104000055 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 239 | 239 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 205 | 205 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 61 | 61 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 36 | 36 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 36 | 36 | $0 |
Insurance plans in this area (ZIP 30236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | MN | |
| - | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E U R O L O G Y | IL |
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