DEWITT CLINTON III ALFRED (MD) – Psychiatry Physician, NPI 1659313955
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in GA
Provider Addresses for DEWITT CLINTON III ALFRED (MD)
1000 COMMISSIONER DR
DARIEN, GA 313059487
Phone: (912) 437-9300
Fax: (912) 437-9481
Type: Mailing
831 Fairways Ct Ste A
Stockbridge, GA 302817278
Phone: (770) 389-1925
Fax: (770) 389-3077
Type: Location
831 FAIRWAYS CT STE A
STOCKBRIDGE, GA 302817278
Phone: (770) 389-1925
Fax: (770) 389-3077
Type: Location
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 303414148
Phone: (770) 939-1288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($50).
Total Amount
$221
General + Research + Ownership
Payments
11
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
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: 2004-04-15
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 |
|---|---|---|---|---|
| I20040415000139 | I | Psychiatry | 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 | 398 | 95 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 147 | 22 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 77 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 21 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 34 | 34 | $0 |
Insurance plans in this area (ZIP 31305)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | GA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 24 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| P S Y C H I A T R Y | KY | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| Emergency Medicine, Internal Medicine, Internal Medicine | GA |
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