CHARLIE C. ROUSE (M.D.) – Cardiovascular Disease Physician, NPI 1710914247

CHARLIE C. ROUSE (M.D.) is a healthcare provider. based in Carrollton, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 044076 (GA). The NPI Number for CHARLIE C. ROUSE (M.D.) is 1710914247

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
CHARLIE C. ROUSE (M.D.)
NPI
1710914247
Phone
(770) 838-8440
Address
129 BANKHEAD HWY
Enumeration Date
28 June 2006
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
6788397290
Graduation Year
1991 (35 years ago)
PAC ID
9739174780
Group Practice PAC ID
4385773373
Professional Enrollment ID
I20040419000561
Address ID
GA301173425CA129XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for CHARLIE C. ROUSE (M.D.)

  • 129, Bankhead Highway, Lamplighter Square, Carrollton, Carroll County, Georgia, 30117, United States

    CARROLLTON, GA 301173425

    Phone: (770) 838-8440

    Fax: (770) 838-8443

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,479.

Total Amount is formed as General ($1,479) + Research ($0) + Ownership ($0) = $1,479.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($266).

Total Amount

$1,479

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2004-04-19

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
I20040419000561ICardiovascular Disease (Cardiology)GATBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1,1821,059$0
99214Established patient office or other outpatient visit, 30-39 minutes1,052575$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,002630$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes581197$0
J2785Injection, regadenoson, 0.1 mg413103$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Provider's Procedures

CHARLIE C. ROUSE (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies160160
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report4134

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: 4385773373View full group profile
NameSpecialtyState
Nurse PractitionerGA
Cardiovascular Disease (Cardiology), Internal MedicineIL
Nurse PractitionerGA
Nurse PractitionerGA
Cardiovascular Disease (Cardiology)GA

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Frequently asked questions

What is CHARLIE C. ROUSE (M.D.)'s NPI number?
CHARLIE C. ROUSE (M.D.)'s NPI is 1710914247 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CHARLIE C. ROUSE (M.D.)?
You should see CHARLIE C. ROUSE (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to CHARLIE C. ROUSE (M.D.)?
CHARLIE C. ROUSE (M.D.)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is CHARLIE C. ROUSE (M.D.) located near Carrollton?
CHARLIE C. ROUSE (M.D.) currently maps to Carrollton, Georgia in this extract.
Can I trust this NPI listing for CHARLIE C. ROUSE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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