WILLIAM JACOCKS III RIVERS (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1639468580
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
314 PHYSICAL MEDICINE AND REHABILITATION in GA
Provider Addresses for WILLIAM JACOCKS III RIVERS (M.D.)
125 TOWNPARK DR NW STE 300
KENNESAW, GA 301445812
Phone: (770) 420-8209
Fax: (888) 844-0784
Type: Mailing
3225 SHALLOWFORD RD STE 500
MARIETTA, GA 300627024
Phone: (770) 579-9000
Fax: (888) 844-0784
Type: Mailing
11 Upper Riverdale Rd SW
Riverdale, GA 302742615
Phone: (770) 991-8000
Type: Location
26 Tower Rd NE
Marietta, GA 300606947
Phone: (770) 422-8913
Type: Location
811 Kennesaw Ave NW
Marietta, GA 300601002
Phone: (770) 422-2451
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: 2015-10-12
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 |
|---|---|---|---|---|
| I20151012001557 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 120 | 115 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 83 | 33 | $0 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 76 | 32 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 48 | 27 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 36 | 16 | $0 |
Insurance plans in this area (ZIP 30144)
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