JOSE LUIS FERNANDEZ (M.D.) – Internal Medicine Physician, NPI 1487641627

JOSE LUIS FERNANDEZ (M.D.) is a healthcare provider. based in Mcdonough, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 038483 (GA). The NPI Number for JOSE LUIS FERNANDEZ (M.D.) is 1487641627

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JOSE LUIS FERNANDEZ (M.D.)
NPI
1487641627
Phone
(770) 317-6312
Address
530 CITY PARK DR
Enumeration Date
3 October 2005
Last Update Date
28 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789224281
Graduation Year
1986 (40 years ago)
PAC ID
7113820374
Group Practice PAC ID
2769813906
Professional Enrollment ID
I20040219000433
Address ID
GA310933431WA1601XBLVD300
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

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for JOSE LUIS FERNANDEZ (M.D.)

  • City Park Drive, McDonough, Henry County, Georgia, 30353, United States

    MCDONOUGH, GA 302521021

    Phone: (770) 317-6312

    Fax: (770) 506-4368

    Type: Mailing

  • Talmadge Road, The Villas at Hampton, Lovejoy, Clayton County, Georgia, 30250, United States

    HAMPTON, GA 302281608

    Phone: (678) 479-1234

    Fax: (678) 479-5678

    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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Stryker Corporation ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$25
View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-19

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
I20040219000433IInternal 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes380357$0
View full utilization report →

Insurance plans in this area (ZIP 30252)

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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: 2769813906View full group profile
NameSpecialtyState
Internal MedicineMI
Internal MedicineGA
Internal MedicineCT
General PracticeSC
Internal MedicineGA
Nurse PractitionerGA
Internal MedicinePA
Internal Medicine, Pulmonary Disease, Pulmonary DiseaseGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

How is JOSE LUIS FERNANDEZ (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JOSE LUIS FERNANDEZ (M.D.) with NPI 1487641627.
Can I rely on JOSE LUIS FERNANDEZ (M.D.) being an active provider?
As of the registry snapshot, JOSE LUIS FERNANDEZ (M.D.) is marked active.
What healthcare role does JOSE LUIS FERNANDEZ (M.D.) hold?
Scheduling teams often label JOSE LUIS FERNANDEZ (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JOSE LUIS FERNANDEZ (M.D.) based?
JOSE LUIS FERNANDEZ (M.D.) is tied to Mcdonough, Georgia in the data we show; additional addresses may exist on the full record.
Why does JOSE LUIS FERNANDEZ (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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