DR. JOHN A. FOUNTAIN (M.D.) – Dermatology Physician, NPI 1629076906
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for DR. JOHN A. FOUNTAIN (M.D.)
2400, Bellevue Road, Dublin, Laurens County, Georgia, 31021, United States
SUITE 21-A
DUBLIN, GA 310212885
Phone: (478) 275-7202
Fax: (478) 274-8418
Type: Mailing
1349, Milstead Road Northeast, Conyers, Rockdale County, Georgia, 30012, United States
CONYERS, GA 300123871
Phone: (770) 922-1716
Fax: (770) 760-9504
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $773.
Total Amount is formed as General ($773) + Research ($0) + Ownership ($0) = $773.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($289).
Total Amount
$773
General + Research + Ownership
Payments
43
Total payment records
General Amount
$773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
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: 2005-11-28
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 |
|---|---|---|---|---|
| I20051128000039 | I | Dermatology | 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 | 424 | 301 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 281 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 242 | 189 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 192 | 154 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 160 | 123 | $0 |
Insurance plans in this area (ZIP 31021)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | GA | 11101 | Biopsy of each additional growth of skin and/or tissue | 60 | 47 |
| DERMATOLOGY | GA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 22 | 21 |
| DERMATOLOGY | GA | 17003 | Destruction of 2-14 skin growths | 504 | 132 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| D E R M A T O L O G Y | GA | |
| - | GA | |
| D E R M A T O L O G Y | SC | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), Dermatology | TX | |
| P A T H O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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