DR. THOMAS J FEDERICO (MD) – Family Medicine Physician, NPI 1114035243

DR. THOMAS J FEDERICO (MD) is a healthcare provider. based in Woodstock, Georgia. specializing in FAMILY PRACTICE, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. ME0047275 (FL). The NPI Number for DR. THOMAS J FEDERICO (MD) is 1114035243

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS J FEDERICO (MD)
NPI
1114035243
Phone
(770) 926-9495
Address
310 GOLD CREEK TRL
Enumeration Date
28 August 2006
Last Update Date
26 November 2012

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704230000
Graduation Year
1982 (44 years ago)
PAC ID
8729139357
Group Practice PAC ID
3274559323
Professional Enrollment ID
I20121218000139
Address ID
GA301444961KE2481XNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. THOMAS J FEDERICO (MD)

  • 310, Gold Creek Trail, Woodstock, Cherokee County, Georgia, 30188, United States

    SUITE 100

    WOODSTOCK, GA 301885435

    Phone: (770) 926-9495

    Type: Location

  • 104 GOLD SPRINGS CT

    CANTON, GA 301146333

    Phone: (407) 697-4345

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($40).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2012-12-18

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
I20121218000139IFamily PracticeGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes300109$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9624$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7811$0
99214Established patient office or other outpatient visit, 30-39 minutes6651$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 30188)

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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: 3274559323View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is there an official ID for DR. THOMAS J FEDERICO (MD) in U.S. healthcare records?
The official identifier for DR. THOMAS J FEDERICO (MD) is NPI 1114035243.
Would DR. THOMAS J FEDERICO (MD) appear as active to a payer?
You can treat DR. THOMAS J FEDERICO (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. THOMAS J FEDERICO (MD)'s focus?
For DR. THOMAS J FEDERICO (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. THOMAS J FEDERICO (MD) associated with Woodstock?
Public fields place DR. THOMAS J FEDERICO (MD) around Woodstock, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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