DR. WILLIAM ANGELO JR. PRIMOS (MD) – Pediatric Sports Medicine Physician, NPI 1528040458

DR. WILLIAM ANGELO JR. PRIMOS (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in PEDIATRIC MEDICINE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 39336 (NC). The NPI Number for DR. WILLIAM ANGELO JR. PRIMOS (MD) is 1528040458

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM ANGELO JR. PRIMOS (MD)
NPI
1528040458
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
16 November 2005
Last Update Date
16 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
7708486190
Graduation Year
1985 (41 years ago)
PAC ID
4082519335
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20141009002378
Address ID
GA300194695DA3625XHWYX302

Contacts

Secure Messaging
wprimos29479@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

496 PEDIATRIC MEDICINE in GA

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Provider Addresses for DR. WILLIAM ANGELO JR. PRIMOS (MD)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • Prominence Court, Dawsonville GA 400, Lumpkin, Dawson County, Georgia, United States

    DAWSONVILLE, GA 305346340

    Phone: (770) 848-6190

    Type: Location

  • 5445 Meridian Marks Rd NE Ste 250

    Atlanta, GA 303424767

    Phone: (404) 255-1933

    Fax: (404) 256-7924

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($151).

Total Amount

$278

General + Research + Ownership

Payments

12

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-10-09

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
I20141009002378IPediatric 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 minutes177104$0
20610Aspiration and/or injection of fluid from large joint9642$0
99203New patient office or other outpatient visit, 30-44 minutes9191$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg7930$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose6922$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

How do payers reference DR. WILLIAM ANGELO JR. PRIMOS (MD)?
For DR. WILLIAM ANGELO JR. PRIMOS (MD), use NPI 1528040458 as the unique 10-digit identifier.
Active or inactive — what applies to DR. WILLIAM ANGELO JR. PRIMOS (MD)?
You should see DR. WILLIAM ANGELO JR. PRIMOS (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. WILLIAM ANGELO JR. PRIMOS (MD)'s focus?
For DR. WILLIAM ANGELO JR. PRIMOS (MD), the primary taxonomy reads as Pediatric Sports Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. WILLIAM ANGELO JR. PRIMOS (MD) associated with Atlanta?
Public fields place DR. WILLIAM ANGELO JR. PRIMOS (MD) around Atlanta, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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