JAMES RIELLY – Vascular Surgery Physician, NPI 1386638005
Vascular Surgery Physician
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NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
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Provider Addresses for JAMES RIELLY
1002, Lindbergh Drive Northeast, Lindridge Martin Manor, Lindbergh, Atlanta, Fulton County, Georgia, 30324, United States
SUITE 2001
ATLANTA, GA 303243721
Phone: (770) 628-2855
Type: Location
395 W COUGAR BLVD STE 503
PROVO, UT 846043323
Phone: (801) 374-9100
Fax: (801) 374-9117
Type: Location
1002 Lindbergh Dr NE
Suite 2001
Atlanta, GA 303243721
Phone: (770) 628-2855
Type: Location
115 Heart Dr
Greenville, NC 278348982
Phone: (252) 744-4400
Fax: (252) 744-3987
Type: Location
3 Richland Medical Park Dr Ste 330
Columbia, SC 292036862
Phone: (803) 434-7100
Fax: (803) 434-6889
Type: Location
1703 Innovation Dr Ste 4120
York, PA 174088815
Phone: (717) 849-5576
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
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: 2023-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20191127001970 | I | Vascular Surgery | PA | TBD |
| I20191220002241 | I | Vascular Surgery | SC | TBD |
| I20201130002980 | I | Vascular Surgery | CT | TBD |
| I20221118000220 | I | Vascular Surgery | CO | TBD |
| I20231215001904 | I | Vascular Surgery | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30324)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | NY | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 28 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CA | |
| - | CO | |
| Physician Assistant | CO | |
| Hospitalist, Family Practice | CO | |
| - | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| - | CO |
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