MR. JOHN STUART DIRKSEN (MD) – Psychiatry Physician, NPI 1679570147

MR. JOHN STUART DIRKSEN (MD) is a healthcare provider. based in Evans, Georgia. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 033771 (GA). The NPI Number for MR. JOHN STUART DIRKSEN (MD) is 1679570147

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN STUART DIRKSEN (MD)
NPI
1679570147
Phone
(706) 210-8400
Address
104 B SRP DR
Enumeration Date
30 June 2005
Last Update Date
3 October 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7062108400
Graduation Year
1986 (40 years ago)
PAC ID
3870599160
Professional Enrollment ID
I20061010000293
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JOHN STUART DIRKSEN (MD)

  • 104, Srp Drive, Glennwood, Columbia County, Georgia, 30809, United States

    EVANS, GA 308093319

    Phone: (706) 210-8400

    Fax: (706) 210-8311

    Type: Mailing

  • Srp Drive, Glennwood, Columbia County, Georgia, 30907, United States

    EVANS, GA 308093319

    Phone: (706) 210-8400

    Fax: (706) 210-8311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $519.

Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: ABBVIE INC. ($175).

Total Amount

$519

General + Research + Ownership

Payments

35

Total payment records

General Amount

$519

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2006-10-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061010000293IPsychiatryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes619265$0
99213Established patient office or other outpatient visit, 20-29 minutes4832$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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Provider's Procedures

MR. JOHN STUART DIRKSEN (MD) performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYGA90792Psychiatric diagnostic evaluation with medical services1414
PSYCHIATRYGA90833Psychotherapy, 30 minutes with patient and/or family member4122

Reviews

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Frequently asked questions

What is the standard ID for MR. JOHN STUART DIRKSEN (MD) in the U.S.?
In the U.S., MR. JOHN STUART DIRKSEN (MD) is identified by NPI 1679570147.
Is MR. JOHN STUART DIRKSEN (MD)'s NPI status active today?
Active status means MR. JOHN STUART DIRKSEN (MD)'s NPI record is not deactivated in the public file.
What type of care does MR. JOHN STUART DIRKSEN (MD) provide?
MR. JOHN STUART DIRKSEN (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JOHN STUART DIRKSEN (MD)?
The directory associates MR. JOHN STUART DIRKSEN (MD) with Evans, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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