STEPHEN CHAD SKIDMORE (D.O.) – Emergency Medicine Physician, NPI 1275929663

STEPHEN CHAD SKIDMORE (D.O.) is a healthcare provider. based in Newnan, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 80578 (GA). The NPI Number for STEPHEN CHAD SKIDMORE (D.O.) is 1275929663

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN CHAD SKIDMORE (D.O.)
NPI
1275929663
Phone
(937) 430-9026
Address
115 SPRINGWATER SHRS
Enumeration Date
13 April 2015
Last Update Date
20 July 2018

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
7068821411
Graduation Year
2014 (12 years ago)
PAC ID
6204142649
Group Practice PAC ID
0840207072
Professional Enrollment ID
I20180919000396
Address ID
GA302404131LA1514XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for STEPHEN CHAD SKIDMORE (D.O.)

  • 115 SPRINGWATER SHRS

    NEWNAN, GA 302653819

    Phone: (937) 430-9026

    Type: Mailing

  • 1514 VERNON RD

    LAGRANGE, GA 30240

    Phone: (706) 882-1411

    Type: Location

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: 2018-09-19

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
I20180919000396IEmergency 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
99285Emergency department visit with high level of medical decision making280254$0
99284Emergency department visit with moderate level of medical decision making149136$0
99291Critical care, first 30-74 minutes6464$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 30265)

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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: 0840207072View full group profile
NameSpecialtyState
Nurse PractitionerGA
-AL
Nurse PractitionerAL
Emergency MedicineFL
Emergency MedicineGA
-GA
-GA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineSC

Reviews

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Frequently asked questions

Does STEPHEN CHAD SKIDMORE (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHEN CHAD SKIDMORE (D.O.) uses 1275929663.
Does the file indicate STEPHEN CHAD SKIDMORE (D.O.) is practicing under active NPI?
Directory data currently reports STEPHEN CHAD SKIDMORE (D.O.) as active.
What is STEPHEN CHAD SKIDMORE (D.O.) best known for clinically?
Directory data describes STEPHEN CHAD SKIDMORE (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does STEPHEN CHAD SKIDMORE (D.O.) list a practice location?
Patients near Newnan, Georgia may find STEPHEN CHAD SKIDMORE (D.O.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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