WILLIE W IV TAPP (M.D.) – Hospitalist Physician, NPI 1104875012

WILLIE W IV TAPP (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 051746 (GA). The NPI Number for WILLIE W IV TAPP (M.D.) is 1104875012

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
WILLIE W IV TAPP (M.D.)
NPI
1104875012
Phone
(470) 271-3418
Address
2727 PACES FERRY RD SE STE 1-1100
Enumeration Date
8 May 2006
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
4043673000
Graduation Year
1999 (27 years ago)
PAC ID
2961466917
Group Practice PAC ID
1951299163
Professional Enrollment ID
I20041118000686
Address ID
GA303091611AT35XXXNWXX401

Contacts

Secure Messaging
willie.tappiv@trhs.cernerdirect.co
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for WILLIE W IV TAPP (M.D.)

  • 2727 PACES FERRY RD SE STE 1-1100

    ATLANTA, GA 303396151

    Phone: (470) 271-3418

    Type: Mailing

  • Peachtree Road, Brookwood, Atlanta, Fulton County, Georgia, 30363, United States

    ATLANTA, GA 303091281

    Phone: (404) 605-5000

    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: 2004-11-18

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
I20041118000686IInternal 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes385373$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9897$0
99291Critical care, first 30-74 minutes3130$0
99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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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: 1951299163View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Internal MedicineGA
H O S P I T A L I S TGA
Internal MedicineGA
Internal MedicineGA
Hospitalist, Internal MedicineIN
N E U R O L O G YGA
Nurse PractitionerGA
Hospitalist, Internal MedicineGA

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Frequently asked questions

How do I look up WILLIE W IV TAPP (M.D.) by NPI?
Use NPI 1104875012 when you need to reference WILLIE W IV TAPP (M.D.) in forms, claims, or directories.
Is WILLIE W IV TAPP (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize WILLIE W IV TAPP (M.D.)'s specialty in plain language?
Clinically, the directory lists WILLIE W IV TAPP (M.D.) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for WILLIE W IV TAPP (M.D.)?
The page summarizes Atlanta, Georgia for WILLIE W IV TAPP (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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