DR. CHARLES DANIEL JR. PROCTER (MD) – Surgery Physician, NPI 1598780488
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for DR. CHARLES DANIEL JR. PROCTER (MD)
2110 POWERS FERRY RD SE STE 302
ATLANTA, GA 303395015
Phone: (470) 419-4380
Fax: (470) 298-7736
Type: Mailing
550 Eagles Landing Pkwy Ste 204
Stockbridge, GA 302819082
Phone: (678) 782-3866
Fax: (470) 298-7732
Type: Location
300 Bullsboro Dr Ste B-C
Newnan, GA 302631680
Phone: (770) 683-3230
Fax: (470) 298-7732
Type: Location
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 303052372
Phone: (470) 419-4380
Fax: (470) 298-7736
Type: Location
Howell Mill Road Northwest, Woodward, Atlanta, Fulton County, Georgia, 30318-2522, United States
ATLANTA, GA 303272100
Phone: (470) 419-4380
Fax: (877) 708-5261
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $15,313.
Total Amount is formed as General ($15,313) + Research ($0) + Ownership ($0) = $15,313.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bolder Surgical, LLC ($7,225).
Total Amount
$15,313
General + Research + Ownership
Payments
45
Total payment records
General Amount
$15,313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bolder Surgical, LLC | $7,225 |
| Hologic Sales and Service, LLC | $6,773 |
| Medtronic, Inc. | $332 |
| Boston Scientific Corporation | $158 |
| Lexington Medical, Inc. | $150 |
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: 2007-07-02
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 |
|---|---|---|---|---|
| I20070702000401 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 33 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 30339)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TX | |
| General Surgery | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.