DR. PAULINA CRUZ-VENEGAS (MD) – Family Medicine Physician, NPI 1376021642
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
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Provider Addresses for DR. PAULINA CRUZ-VENEGAS (MD)
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 303101649
Phone: (404) 836-0136
Fax: (404) 850-8695
Type: Mailing
677, Church Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 300601101
Phone: (678) 316-4873
Type: Mailing
660 CHEROKEE ST NE STE 100
MARIETTA, GA 300608930
Phone: (678) 797-8201
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Lilly USA, LLC ($128).
Total Amount
$128
General + Research + Ownership
Payments
2
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $128 |
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: 2022-08-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220810000948 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 86 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 79 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 36 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
Insurance plans in this area (ZIP 30310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Internal Medicine | NY | |
| Family Practice | GA | |
| Internal Medicine | AL | |
| Family Practice | GA | |
| Internal Medicine | OH | |
| Internal Medicine, Geriatric Medicine | GA | |
| Internal Medicine | GA | |
| Family Practice | TN | |
| Internal Medicine | FL |
Reviews
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