MR. JARED SAMUEL FRIEDMAN (MD) – MOHS-Micrographic Surgery Physician, NPI 1316904147

MR. JARED SAMUEL FRIEDMAN (MD) is a healthcare provider. based in Marietta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. D52722 (GA). The NPI Number for MR. JARED SAMUEL FRIEDMAN (MD) is 1316904147

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. JARED SAMUEL FRIEDMAN (MD)
NPI
1316904147
Phone
(770) 422-1013
Address
111 MARBLE MILL RD NW
Enumeration Date
26 April 2006
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7704221013
Graduation Year
1999 (27 years ago)
PAC ID
0547232712
Group Practice PAC ID
6507850120
Professional Enrollment ID
I20040819000162
Address ID
GA300601047MA111XXNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for MR. JARED SAMUEL FRIEDMAN (MD)

  • Marble Mill Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300601047

    Phone: (770) 422-1013

    Fax: (770) 514-5996

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Kerecis Limited ($138).

Total Amount

$313

General + Research + Ownership

Payments

10

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2004-08-19

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
I20040819000162IDermatologyGATBD

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
Q4229Cogenex amniotic membrane, per square centimeter1,11228$0
17003Destruction of precancer skin growth, 2-14 growths1,103216$0
99213Established patient office or other outpatient visit, 20-29 minutes742539$0
Q4278Epieffect, per square centimeter51114$0
11102Biopsy of related skin growth, first growth470367$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Provider's Procedures

MR. JARED SAMUEL FRIEDMAN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA11101Biopsy of each additional growth of skin and/or tissue713204
DERMATOLOGYGA14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips3736
DERMATOLOGYGA17003Destruction of 2-14 skin growths1247171

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: 6507850120View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Can I cross-check MR. JARED SAMUEL FRIEDMAN (MD) using NPI 1316904147?
NPI 1316904147 belongs to MR. JARED SAMUEL FRIEDMAN (MD); compare other details if you need extra assurance.
Is MR. JARED SAMUEL FRIEDMAN (MD) shown as active in public data?
Registry records indicate MR. JARED SAMUEL FRIEDMAN (MD) maintains an active NPI.
What clinical focus is listed for MR. JARED SAMUEL FRIEDMAN (MD)?
At a glance, MR. JARED SAMUEL FRIEDMAN (MD) is tied to MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. JARED SAMUEL FRIEDMAN (MD)?
Directory geography for MR. JARED SAMUEL FRIEDMAN (MD) centers on Marietta, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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