Unknown Individual – Surgery Physician, NPI 1174684690
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
150, Gentilly Boulevard, Wildwood, Cartersville, Bartow County, Georgia, 30120, United States
CARTERSVILLE, GA 301208522
Phone: (770) 382-5919
Fax: (678) 721-4386
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Stryker Corporation ($68).
Total Amount
$128
General + Research + Ownership
Payments
4
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $68 |
| Ethicon US, LLC | $24 |
| Hologic Sales and Service, LLC | $19 |
| Baxter Healthcare | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 90 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 38 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 25 | 25 | $0 |
Insurance plans in this area (ZIP 30165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Radiation Oncology | GA | |
| - | GA |
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