WILLIAM JAY LICHTENFELD (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1164422572

WILLIAM JAY LICHTENFELD (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 051503 (GA). The NPI Number for WILLIAM JAY LICHTENFELD (M.D.) is 1164422572

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM JAY LICHTENFELD (M.D.)
NPI
1164422572
Phone
(770) 953-6929
Address
900 CIRCLE 75 PKWY SE
Enumeration Date
28 July 2005
Last Update Date
3 June 2014

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
6782186702
Graduation Year
1992 (34 years ago)
PAC ID
3779574397
Group Practice PAC ID
9739305749
Professional Enrollment ID
I20040925000085
Address ID
GA300787921SN1699XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

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Provider Addresses for WILLIAM JAY LICHTENFELD (M.D.)

  • Circle 75 Parkway Southeast, Smyrna, Cobb, Georgia, 30339, United States

    SUITE 1700

    ATLANTA, GA 303393035

    Phone: (770) 953-6929

    Fax: (770) 953-6972

    Type: Mailing

  • 6300, Hospital Parkway, Johns Creek, Georgia, 30097, United States

    SUITE 400

    JOHNS CREEK, GA 300971828

    Phone: (678) 205-4261

    Fax: (678) 417-7187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $2,325.

Total Amount is formed as General ($2,325) + Research ($0) + Ownership ($0) = $2,325.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Medtronic, Inc. ($595).

Total Amount

$2,325

General + Research + Ownership

Payments

77

Total payment records

General Amount

$2,325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2004-05-21

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
I20040521000947IPhysical Medicine And RehabilitationGATBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg1,112198$0
99214Established patient office or other outpatient visit, 30-39 minutes542166$0
99213Established patient office or other outpatient visit, 20-29 minutes209116$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level12988$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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Provider's Procedures

WILLIAM JAY LICHTENFELD (M.D.) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOGA64493Injections of lower or sacral spine facet joint using imaging guidance7259
PHYSICAL MEDICINE AND REHABILITATIOGA73562X-ray of knee, 3 views1515

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: 9739305749View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
N E U R O L O G YNY
Hospitalist, Internal MedicineGA
Nurse PractitionerGA
A N E S T H E S I O L O G YGA
Hand Surgery, Orthopedic SurgeryGA
Family PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTX

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Frequently asked questions

What is the 10-digit NPI for WILLIAM JAY LICHTENFELD (M.D.)?
WILLIAM JAY LICHTENFELD (M.D.) — NPI 1164422572 — is the standard way to identify this listing.
Is WILLIAM JAY LICHTENFELD (M.D.) listed as active for patients and plans?
The listing shows WILLIAM JAY LICHTENFELD (M.D.) as active in the NPI system.
What healthcare role does WILLIAM JAY LICHTENFELD (M.D.) hold?
Scheduling teams often label WILLIAM JAY LICHTENFELD (M.D.) under Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect WILLIAM JAY LICHTENFELD (M.D.) on a map?
Expect Atlanta, Georgia as a primary anchor for WILLIAM JAY LICHTENFELD (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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