DR. JAMES A SEXSON (M.D.) – Hospitalist Physician, NPI 1366502155
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 GERIATRIC MEDICINE in GA
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Provider Addresses for DR. JAMES A SEXSON (M.D.)
PO BOX 746450
ATLANTA, GA 303746450
Phone: (866) 401-3057
Fax: (318) 868-6430
Type: Mailing
Austell Road, Austell, Cobb, Georgia, 30106, United States
SUITE 203
AUSTELL, GA 301061103
Phone: (770) 944-0811
Fax: (770) 944-0829
Type: Location
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 366172300
Phone: (251) 471-7891
Fax: (251) 470-1652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Corcept Therapeutics ($110).
Total Amount
$110
General + Research + Ownership
Payments
1
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corcept Therapeutics | $110 |
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: 2025-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070403000394 | I | Internal Medicine | GA | TBD |
| I20200512001630 | I | Internal Medicine | MA | TBD |
| I20210326001407 | I | Hospitalist | TN | TBD |
| I20250402002167 | I | Internal Medicine | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 642 | 239 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 229 | 207 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 227 | 210 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 71 | 39 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 35 | 32 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | AL | |
| - | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Cardiac Surgery, Vascular Surgery | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | AL | |
| R H E U M A T O L O G Y | AL | |
| - | AL | |
| - | AL | |
| - | FL |
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