DR. KEVIN LADARIUS SR. WASHINGTON (MD) – Emergency Medicine Physician, NPI 1306037486

DR. KEVIN LADARIUS SR. WASHINGTON (MD) is a healthcare provider. based in Mableton, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 62629 (GA). The NPI Number for DR. KEVIN LADARIUS SR. WASHINGTON (MD) is 1306037486

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN LADARIUS SR. WASHINGTON (MD)
NPI
1306037486
Phone
(770) 378-0942
Address
5112 CRESCENT COVE LN
Enumeration Date
5 August 2007
Last Update Date
1 November 2025

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7705145405
Graduation Year
2005 (21 years ago)
PAC ID
0042364895
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20090813000595
Address ID
GA301445579KE750XXNWXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:18State licenses:2Other names

1,514 EMERGENCY MEDICINE in GA

Provider Addresses for DR. KEVIN LADARIUS SR. WASHINGTON (MD)

  • 5112 CRESCENT COVE LN

    MABLETON, GA 301267622

    Phone: (770) 378-0942

    Type: Mailing

  • 2201, Severn Avenue, Metairie, Jefferson Parish, Louisiana, 70001, United States

    APT H207

    METAIRIE, LA 70001

    Phone:

    Type: Mailing

  • 200 INDUSTRIAL BLVD

    DUBLIN, GA 310212981

    Phone: (478) 274-3125

    Fax: (478) 274-3247

    Type: Location

  • Lions Eye Building, 2020, Gravier Street, Mid-City, New Orleans, Orleans Parish, Louisiana, 70119, United States

    7TH FLOOR SUITE D

    NEW ORLEANS, LA 701122272

    Phone: (504) 903-3594

    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: 2009-08-13

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
I20090813000595IEmergency 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
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
99285Emergency department visit with high level of medical decision making1919$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 30126)

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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: 6204829013View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. KEVIN LADARIUS SR. WASHINGTON (MD)'s NPI?
You can confirm DR. KEVIN LADARIUS SR. WASHINGTON (MD) with NPI 1306037486; it appears in the national provider directory.
Is DR. KEVIN LADARIUS SR. WASHINGTON (MD) active in the national directory?
DR. KEVIN LADARIUS SR. WASHINGTON (MD)'s public NPI profile is in an active state.
What kind of provider is DR. KEVIN LADARIUS SR. WASHINGTON (MD)?
The page reflects Emergency Medicine Physician for DR. KEVIN LADARIUS SR. WASHINGTON (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. KEVIN LADARIUS SR. WASHINGTON (MD)?
We surface Mableton, Georgia for DR. KEVIN LADARIUS SR. WASHINGTON (MD) based on available NPPES addresses.
What if Mableton, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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