JOHN S ANTALIS (M.D.) – Family Medicine Physician, NPI 1265420731

JOHN S ANTALIS (M.D.) is a healthcare provider. based in Dalton, Georgia. specializing in ALLERGY/IMMUNOLOGY, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 26767 (GA). The NPI Number for JOHN S ANTALIS (M.D.) is 1265420731

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JOHN S ANTALIS (M.D.)
NPI
1265420731
Phone
(706) 278-0138
Address
1114 PROFESSIONAL BLVD
Enumeration Date
10 October 2005
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704421911
Graduation Year
1982 (44 years ago)
PAC ID
2961546486
Group Practice PAC ID
3577559673
Professional Enrollment ID
I20100826000042
Address ID
GA300224425AL3905XPKWY305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

137 ALLERGY/IMMUNOLOGY in GA

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Provider Addresses for JOHN S ANTALIS (M.D.)

  • Professional Boulevard, Dalton, Whitfield County, Georgia, 30722, United States

    DALTON, GA 307202588

    Phone: (706) 278-0138

    Fax: (706) 226-6882

    Type: Location

  • 1504 N THORNTON AVE STE 107

    DALTON, GA 307208394

    Phone: (067) 278-0138

    Type: Location

  • 4300 N POINT PKWY STE 300

    ALPHARETTA, GA 300224102

    Phone: (770) 442-1911

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $666.

Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($106).

Total Amount

$666

General + Research + Ownership

Payments

32

Total payment records

General Amount

$666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-08-26

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
I20100826000042IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes281139$0
99213Established patient office or other outpatient visit, 20-29 minutes181145$0
36415Insertion of needle into vein for collection of blood sample173161$0
80061Blood test, lipids (cholesterol and triglycerides)155154$0
83721Ldl cholesterol level154153$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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Provider's Procedures

JOHN S ANTALIS (M.D.) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA73562X-ray of knee, 3 views2626
FAMILY MEDICINEGA83036Hemoglobin A1C level303181
FAMILY MEDICINEGA85610Blood test, clotting time18330

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: 3577559673View full group profile
NameSpecialtyState
-GA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Family PracticeGA
Internal MedicineTN
Internal MedicineGA
Cardiovascular Disease (Cardiology)GA
Internal MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for JOHN S ANTALIS (M.D.)?
Save NPI 1265420731 if you need a stable reference for JOHN S ANTALIS (M.D.).
Does this profile mean JOHN S ANTALIS (M.D.) is currently active?
Yes — JOHN S ANTALIS (M.D.) appears active in the national provider directory.
Can you summarize JOHN S ANTALIS (M.D.)'s specialty in plain language?
Clinically, the directory lists JOHN S ANTALIS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JOHN S ANTALIS (M.D.)?
The snapshot lists Dalton, Georgia for JOHN S ANTALIS (M.D.); download NPPES for the complete set.
How can I contact JOHN S ANTALIS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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