DAKOTAH ROSE FORELL – Emergency Medicine Physician, NPI 1235692146

DAKOTAH ROSE FORELL is a healthcare provider. based in Marietta, Georgia. specializing in EMERGENCY MEDICINE. They hold a License No. 2904 (AL). The NPI Number for DAKOTAH ROSE FORELL is 1235692146

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DAKOTAH ROSE FORELL
NPI
1235692146
Phone
Not provided
Address
667 CHURCH ST NE
Enumeration Date
8 April 2019
Last Update Date
2 January 2024

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Secondary Phone
2406862300
Graduation Year
2019 (7 years ago)
PAC ID
6204165160
Group Practice PAC ID
2567787344
Professional Enrollment ID
I20220603000282
Address ID
AL357682428SC380XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,514 EMERGENCY MEDICINE in GA

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Provider Addresses for DAKOTAH ROSE FORELL

  • 667, Church Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    MARIETTA, GA 300601101

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-06-03

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
I20220603000282IEmergency MedicineALTBD

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
99285Emergency department visit with high level of medical decision making228217$0
99291Critical care, first 30-74 minutes9087$0
99284Emergency department visit with moderate level of medical decision making8484$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4241$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 2567787344View full group profile
NameSpecialtyState
H O S P I T A L I S TAL
Family Practice, Emergency MedicineAL
Emergency Medicine, Internal MedicineAL
Emergency Medicine, Internal MedicineTN
Emergency MedicineNY
Family PracticePA
Family Practice, Emergency MedicineAL
Family PracticeAL
-IL
Family PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to DAKOTAH ROSE FORELL?
The federal identifier for DAKOTAH ROSE FORELL is NPI 1235692146.
Is DAKOTAH ROSE FORELL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DAKOTAH ROSE FORELL list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DAKOTAH ROSE FORELL. Clinical services aligned with this taxonomy classification.
What location metadata exists for DAKOTAH ROSE FORELL?
The page summarizes Marietta, Georgia for DAKOTAH ROSE FORELL; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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