DR. CORTIE J IV ROLISON (DO) – Family Medicine Physician, NPI 1184986671

DR. CORTIE J IV ROLISON (DO) is a healthcare provider. based in Bethlehem, Georgia. specializing in SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. LL1577 (SC). The NPI Number for DR. CORTIE J IV ROLISON (DO) is 1184986671

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORTIE J IV ROLISON (DO)
NPI
1184986671
Phone
(770) 307-5460
Address
426 Exchange Blvd Ste 600
Enumeration Date
12 June 2012
Last Update Date
15 October 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7066582452
Graduation Year
2007 (19 years ago)
PAC ID
8022336197
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20160720001113
Address ID
GA305481897HO26XXXDRXX500
Telehealth
Yes

Contacts

Secure Messaging
crolison29527@nghs.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:13State licenses:3Other namesUpdated within 12 months

150 SPORTS MEDICINE in GA

Provider Addresses for DR. CORTIE J IV ROLISON (DO)

  • 426 Exchange Blvd Ste 600

    Bethlehem, GA 306201760

    Phone: (770) 307-5460

    Fax: (470) 429-5193

    Type: Location

  • 26 W JACKSON COMMONS DR

    HOSCHTON, GA 305481897

    Phone: (770) 848-9190

    Fax: (706) 658-2462

    Type: Location

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,263.

Total Amount is formed as General ($1,263) + Research ($0) + Ownership ($0) = $1,263.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($368).

Total Amount

$1,263

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,263

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2016-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150421002670IFamily PracticeSCTBD
I20160720001113ISports MedicineGATBD

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
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,05612$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg61060$0
99214Established patient office or other outpatient visit, 30-39 minutes404186$0
36415Insertion of needle into vein for collection of blood sample160100$0
99213Established patient office or other outpatient visit, 20-29 minutes13692$0
View full utilization report →

Insurance plans in this area (ZIP 30620)

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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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

How do I look up DR. CORTIE J IV ROLISON (DO) by NPI?
Use NPI 1184986671 when you need to reference DR. CORTIE J IV ROLISON (DO) in forms, claims, or directories.
Does this profile mean DR. CORTIE J IV ROLISON (DO) is currently active?
Yes — DR. CORTIE J IV ROLISON (DO) appears active in the national provider directory.
What field does DR. CORTIE J IV ROLISON (DO) work in?
You can think of DR. CORTIE J IV ROLISON (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CORTIE J IV ROLISON (DO)?
We surface Bethlehem, Georgia for DR. CORTIE J IV ROLISON (DO) based on available NPPES addresses.
How can I contact DR. CORTIE J IV ROLISON (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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