DR. JEAN JOSEPH PHILIPPE-DAMBREVILLE (MD) – Internal Medicine Physician, NPI 1639177066
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JEAN JOSEPH PHILIPPE-DAMBREVILLE (MD)
5825 GLENRIDGE DR NE
BLDG 2 STE 120
ATLANTA, GA 303285387
Phone: (404) 250-1204
Fax: (404) 250-1205
Type: Mailing
2310 PARKLAKE DR NE STE 425
ATLANTA, GA 303453066
Phone: (770) 696-5252
Fax: (470) 545-2909
Type: Location
2310 PARKLAKE DR NE STE 144
ATLANTA, GA 303452913
Phone: (770) 696-5252
Fax: (470) 545-2909
Type: Location
4955 FLYCATCHER DR
ALPHARETTA, GA 300045877
Phone: (770) 826-7658
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $14,107.
Total Amount is formed as General ($0) + Research ($14,107) + Ownership ($0) = $14,107.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Eli Lilly and Company ($14,107).
Total Amount
$14,107
General + Research + Ownership
Payments
2
Total payment records
General Amount
$0
General payments
Research Amount
$14,107
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eli Lilly and Company | $14,107 |
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: 2010-11-04
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 |
|---|---|---|---|---|
| I20101104000715 | I | Internal Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30328)
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