PHILIP T. SLACK (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1639113095
Pain Medicine (Anesthesiology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
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Provider Addresses for PHILIP T. SLACK (MD)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
Jesse Jewell Parkway Northeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013822
Phone: (770) 219-6520
Fax: (770) 219-1016
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-10-08
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 |
|---|---|---|---|---|
| I20081008000398 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,330 | 168 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,028 | 252 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 206 | 131 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 193 | 150 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 190 | 148 | $0 |
Insurance plans in this area (ZIP 30374)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 13 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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