CHARLES GALIWANGO (MD) – Emergency Medicine Physician, NPI 1417900812

CHARLES GALIWANGO (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 24890 (TN). The NPI Number for CHARLES GALIWANGO (MD) is 1417900812

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES GALIWANGO (MD)
NPI
1417900812
Phone
(904) 805-1300
Address
PO BOX 532734
Enumeration Date
18 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733593659
Graduation Year
1979 (47 years ago)
PAC ID
1658329248
Group Practice PAC ID
8426024159
Professional Enrollment ID
I20240717002453
Address ID
MO638511243HA946XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for CHARLES GALIWANGO (MD)

  • PO BOX 532734

    ATLANTA, GA 303532734

    Phone: (904) 805-1300

    Fax: (904) 805-1302

    Type: Mailing

  • Marshall Medical Center, 1080, North Ellington Parkway, Wallace Acres, Lewisburg, Marshall County, Tennessee, 37091, United States

    LEWISBURG, TN 370912227

    Phone: (904) 805-1300

    Fax: (904) 805-1302

    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: 2024-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050111000171IEmergency MedicineTNTBD
I20240717002453IFamily PracticeMOTBD

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
99285Emergency department visit with high level of medical decision making6058$0
99284Emergency department visit with moderate level of medical decision making5853$0
99283Emergency department visit with low level of medical decision making1211$0
View full utilization report →

Insurance plans in this area (ZIP 30353)

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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: 8426024159View full group profile
NameSpecialtyState
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineMO
U R O L O G YTN
-KY
Nurse PractitionerMO
General SurgeryTN
P O D I A T R YTN
Certified Registered Nurse Anesthetist (Crna)AR
-MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHARLES GALIWANGO (MD)?
CHARLES GALIWANGO (MD) — NPI 1417900812 — is the standard way to identify this listing.
Does the file indicate CHARLES GALIWANGO (MD) is practicing under active NPI?
Directory data currently reports CHARLES GALIWANGO (MD) as active.
What is CHARLES GALIWANGO (MD) best known for clinically?
Directory data describes CHARLES GALIWANGO (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CHARLES GALIWANGO (MD)?
CHARLES GALIWANGO (MD)'s geographic hint is Atlanta, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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