DR. CASSANDRA RIVERS TREADWAY (M.D.) – Internal Medicine Physician, NPI 1689894883

DR. CASSANDRA RIVERS TREADWAY (M.D.) is a healthcare provider. based in Villa rica, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 056837 (GA). The NPI Number for DR. CASSANDRA RIVERS TREADWAY (M.D.) is 1689894883

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASSANDRA RIVERS TREADWAY (M.D.)
NPI
1689894883
Phone
(678) 983-4190
Address
2024 BARRINGTON LN
Enumeration Date
27 April 2007
Last Update Date
22 January 2020

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
4047521000
Graduation Year
1999 (27 years ago)
PAC ID
3577581958
Group Practice PAC ID
6002701273
Professional Enrollment ID
I20051103000926
Address ID
GA303101408AT455XXSWXX400

Contacts

Secure Messaging
ctreadway68742@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. CASSANDRA RIVERS TREADWAY (M.D.)

  • 2024 BARRINGTON LN

    VILLA RICA, GA 301806954

    Phone: (678) 983-4190

    Type: Mailing

  • 3885 PRINCETON LAKES PARKWAY

    SUITE 300

    ATLANTA, GA 30331

    Phone: (404) 344-0059

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $2,164.

Total Amount is formed as General ($2,164) + Research ($0) + Ownership ($0) = $2,164.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($585).

Total Amount

$2,164

General + Research + Ownership

Payments

142

Total payment records

General Amount

$2,164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-11-03

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
I20051103000926IInternal MedicineGATBD

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 minutes13063$0
96127Assessment of emotional or behavioral problems8146$0
99213Established patient office or other outpatient visit, 20-29 minutes4637$0
G0444Annual depression screening, 5 to 15 minutes1818$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 30180)

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Provider's Procedures

DR. CASSANDRA RIVERS TREADWAY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle1818

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002701273View full group profile
NameSpecialtyState
Internal MedicineGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Infectious Disease, Internal MedicineGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
N E U R O L O G YCT
P S Y C H I A T R YGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA

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Frequently asked questions

Where can patients find DR. CASSANDRA RIVERS TREADWAY (M.D.)'s NPI?
You can confirm DR. CASSANDRA RIVERS TREADWAY (M.D.) with NPI 1689894883; it appears in the national provider directory.
Does this profile mean DR. CASSANDRA RIVERS TREADWAY (M.D.) is currently active?
Yes — DR. CASSANDRA RIVERS TREADWAY (M.D.) appears active in the national provider directory.
What field does DR. CASSANDRA RIVERS TREADWAY (M.D.) work in?
You can think of DR. CASSANDRA RIVERS TREADWAY (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CASSANDRA RIVERS TREADWAY (M.D.)?
The page summarizes Villa Rica, Georgia for DR. CASSANDRA RIVERS TREADWAY (M.D.); expand the address list for detail.
Is DR. CASSANDRA RIVERS TREADWAY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1689894883. Always confirm identity and privileges with the practice and licensing boards.

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