JONATHAN S WEISS (MD) – Dermatology Physician, NPI 1619913712

JONATHAN S WEISS (MD) is a healthcare provider. based in Snellville, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 029820 (GA). The NPI Number for JONATHAN S WEISS (MD) is 1619913712

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN S WEISS (MD)
NPI
1619913712
Phone
(770) 972-4845
Address
2383 PATE ST
Enumeration Date
20 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7709724845108
Graduation Year
1984 (42 years ago)
PAC ID
4486758273
Group Practice PAC ID
6002804309
Professional Enrollment ID
I20071029000127
Address ID
GA300783250SN2383XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for JONATHAN S WEISS (MD)

  • 2383, Pate Street, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 30078

    Phone: (770) 972-4845

    Fax: (770) 972-0358

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 711 Open Payments records for all available years, with a total value of $236,397.

Total Amount is formed as General ($236,397) + Research ($0) + Ownership ($0) = $236,397.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($45,584).

Total Amount

$236,397

General + Research + Ownership

Payments

711

Total payment records

General Amount

$236,397

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2007-10-29

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
I20071029000127IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths3,051500$0
99213Established patient office or other outpatient visit, 20-29 minutes1,486976$0
17000Destruction of precancer skin growth, 1 growth823624$0
11102Biopsy of related skin growth, first growth404344$0
17110Destruction of skin growth, 1-14 growths204189$0
View full utilization report →

Insurance plans in this area (ZIP 30078)

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Provider's Procedures

JONATHAN S WEISS (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA11101Biopsy of each additional growth of skin and/or tissue236141
DERMATOLOGYGA17003Destruction of 2-14 skin growths4324642

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: 6002804309View full group profile
NameSpecialtyState
D E R M A T O L O G YGA
D E R M A T O L O G YLA
Physician AssistantGA
-GA
Nurse PractitionerGA
-GA
D E R M A T O L O G YGA
D E R M A T O L O G YMA
Physician AssistantGA
Pathology, DermatologyGA

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Frequently asked questions

Does JONATHAN S WEISS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JONATHAN S WEISS (MD) uses 1619913712.
Is JONATHAN S WEISS (MD) listed as active for patients and plans?
The listing shows JONATHAN S WEISS (MD) as active in the NPI system.
What taxonomy line describes JONATHAN S WEISS (MD)?
For research purposes, treat JONATHAN S WEISS (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN S WEISS (MD) on a map?
Expect Snellville, Georgia as a primary anchor for JONATHAN S WEISS (MD) unless the record lists multiple sites.
Why does JONATHAN S WEISS (MD) 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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