STEPHEN A BERRY (MD) – Internal Medicine Physician, NPI 1477533206

STEPHEN A BERRY (MD) is a healthcare provider. based in Gainesville, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 047295 (GA). The NPI Number for STEPHEN A BERRY (MD) is 1477533206

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN A BERRY (MD)
NPI
1477533206
Phone
(770) 718-1122
Address
PO BOX 658
Enumeration Date
18 January 2006
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6784749633
Graduation Year
1995 (31 years ago)
PAC ID
2860580602
Group Practice PAC ID
9638343924
Professional Enrollment ID
I20071113000260
Address ID
GA300249119SU3380XPKWY300

Contacts

Secure Messaging
ln8193@providers.smga.myhealthprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for STEPHEN A BERRY (MD)

  • PO BOX 658

    GAINESVILLE, GA 305030658

    Phone: (770) 718-1122

    Fax: (770) 535-7445

    Type: Mailing

  • St. Mary's, 1230, Baxter Street, Beechwood Hills, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 30606

    Phone: (706) 389-3889

    Fax: (706) 389-3411

    Type: Location

  • 134 ANSLEY DR STE 100

    DAHLONEGA, GA 305331640

    Phone: (706) 389-3740

    Type: Mailing

  • 1230 BAXTER ST

    ATHENS, GA 306063712

    Phone: (706) 389-3889

    Fax: (706) 389-3410

    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: 2007-11-13

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
I20071113000260IInternal MedicineGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3934$0
99214Established patient office or other outpatient visit, 30-39 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 30503)

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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: 9638343924View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerNC
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineGA
Internal Medicine, EndocrinologyGA
-GA
-NV
N E U R O L O G YTX
-GA

Reviews

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Frequently asked questions

Where can patients find STEPHEN A BERRY (MD)'s NPI?
You can confirm STEPHEN A BERRY (MD) with NPI 1477533206; it appears in the national provider directory.
Is STEPHEN A BERRY (MD)'s NPI currently valid?
The extract we use shows STEPHEN A BERRY (MD) as active.
What field does STEPHEN A BERRY (MD) work in?
You can think of STEPHEN A BERRY (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is STEPHEN A BERRY (MD)'s primary listing?
We display Gainesville, Georgia because that is what the record indicates for STEPHEN A BERRY (MD).
What if Gainesville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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