GARY S HATHAWAY (MD) – Surgery Physician, NPI 1164489373

GARY S HATHAWAY (MD) is a healthcare provider. based in Marietta, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 042599 (GA). The NPI Number for GARY S HATHAWAY (MD) is 1164489373

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
GARY S HATHAWAY (MD)
NPI
1164489373
Phone
(770) 423-0395
Address
590 NANCY ST NW
Enumeration Date
1 May 2006
Last Update Date
3 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1988 (38 years ago)
PAC ID
6406044544
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20101216000376
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
ghathaway56266@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

Loading map...

Provider Addresses for GARY S HATHAWAY (MD)

  • 590, Nancy Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300601334

    Phone: (770) 423-0395

    Fax: (770) 499-0352

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($152).

Total Amount

$456

General + Research + Ownership

Payments

17

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2010-12-16

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
I20101216000376IGeneral SurgeryGATBD

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
99204New patient office or other outpatient visit, 45-59 minutes5656$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99213Established patient office or other outpatient visit, 20-29 minutes3428$0
99212Established patient office or other outpatient visit, 10-19 minutes2218$0
49650Repair of groin hernia using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

Loading plans...

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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for GARY S HATHAWAY (MD) in U.S. healthcare records?
The official identifier for GARY S HATHAWAY (MD) is NPI 1164489373.
Is GARY S HATHAWAY (MD) still an active registrant?
GARY S HATHAWAY (MD) carries an active NPI according to the public dataset.
What expertise is attributed to GARY S HATHAWAY (MD)?
GARY S HATHAWAY (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is GARY S HATHAWAY (MD) registered?
Use Marietta, Georgia as the headline location for GARY S HATHAWAY (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

KENT C CHOI (MD)

Surgery Physician
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
NPI: 1184618456

JOSE ANDUJAR (MD)

Colon & Rectal Surgery Physician
55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1821086554

DR. MADHAVI JORDAN (MD)

Surgery Physician
55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1023007499

RAVINDRA EDUPUGANTI (M.D.)

Cardiovascular Disease Physician
Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1689651770

DR. MARTHA AGUILERA (MD)

Surgery Physician
55 WHITCHER ST NE STE 130
NPI: 1184697534
55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1477526309

SAHIR G SHROFF (M.D.)

Surgical Oncology Physician
590, Nancy Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1659338416

CHRIS S ANDERSEN (M.D.)

Surgery Physician
590, Nancy Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1255398467