MR. JOHN C LIPMAN (M.D.) – Vascular & Interventional Radiology Physician, NPI 1124096219

MR. JOHN C LIPMAN (M.D.) is a healthcare provider. based in Smyrna, Georgia. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 034012 (GA). The NPI Number for MR. JOHN C LIPMAN (M.D.) is 1124096219

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN C LIPMAN (M.D.)
NPI
1124096219
Phone
(770) 953-2600
Address
3670 HIGHLANDS PKWY SE
Enumeration Date
14 March 2006
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
6103809843
Professional Enrollment ID
I20040611001160
Address ID
GA300825184SM3670XSEPK300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for MR. JOHN C LIPMAN (M.D.)

  • 3670, Highlands Parkway Southeast, Smyrna, Cobb County, Georgia, 30082, United States

    SMYRNA, GA 300825184

    Phone: (770) 953-2600

    Fax: (770) 953-2602

    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 16 Open Payments records for all available years, with a total value of $842.

Total Amount is formed as General ($842) + Research ($0) + Ownership ($0) = $842.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Vasorum USA Inc. ($174).

Total Amount

$842

General + Research + Ownership

Payments

16

Total payment records

General Amount

$842

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-06-11

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
I20040611001160IDiagnostic RadiologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30082)

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Reviews

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Frequently asked questions

What number should I use to identify MR. JOHN C LIPMAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1124096219 for MR. JOHN C LIPMAN (M.D.).
Should I treat MR. JOHN C LIPMAN (M.D.) as an active provider?
Patients and plans typically see MR. JOHN C LIPMAN (M.D.) as active in the national extract.
Which specialty label fits MR. JOHN C LIPMAN (M.D.)?
NPPES ties MR. JOHN C LIPMAN (M.D.) to Vascular & Interventional Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JOHN C LIPMAN (M.D.) in Smyrna, Georgia?
For routing, start with Smyrna, Georgia for MR. JOHN C LIPMAN (M.D.), then verify phone and hours locally.
Who maintains MR. JOHN C LIPMAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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