DR. WATCOUN-NCHINDA EDWARD PISOH (M.D.) – Internal Medicine Physician, NPI 1568759512
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
524 GASTROENTEROLOGY in GA
Provider Addresses for DR. WATCOUN-NCHINDA EDWARD PISOH (M.D.)
690 Dallas Hwy Ste 103
Villa Rica, GA 301801265
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
204 Allen Memorial Dr Ste 302B
Bremen, GA 301102047
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
160 Clinic Ave
Carrollton, GA 301174451
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
PO BOX 19648
SPRINGFIELD, IL 627949648
Phone: (217) 545-8000
Fax: (217) 545-4735
Type: Mailing
751 N RUTLEDGE ST
SUITE 1100
SPRINGFIELD, IL 627024968
Phone: (217) 545-8000
Fax: (217) 545-4735
Type: Location
157 CLINIC AVE STE 201
CARROLLTON, GA 301174454
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Mailing
5105 N GLEN PARK PLACE RD
PEORIA, IL 616144675
Phone: (309) 308-5900
Fax: (309) 308-5910
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $1,434.
Total Amount is formed as General ($1,434) + Research ($0) + Ownership ($0) = $1,434.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($351).
Total Amount
$1,434
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221102003184 | I | Gastroenterology | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 79 | 79 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 71 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 57 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 64 | 64 | $0 |
Insurance plans in this area (ZIP 30180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA |
Reviews
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