DR. JEREMIAS RAFAEL DUARTE (DO) – General Practice Physician, NPI 1780189514

DR. JEREMIAS RAFAEL DUARTE (DO) is a healthcare provider. based in Duluth, Georgia. specializing in GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 86498 (GA). The NPI Number for DR. JEREMIAS RAFAEL DUARTE (DO) is 1780189514

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMIAS RAFAEL DUARTE (DO)
NPI
1780189514
Phone
Not provided
Address
2951 SATELLITE BLVD APT 1824
Enumeration Date
26 March 2018
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4048728837
Graduation Year
2018 (8 years ago)
PAC ID
8628478229
Group Practice PAC ID
8820444706
Professional Enrollment ID
I20210619000072
Address ID
GA303187815AT197XXNWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

164 GENERAL PRACTICE in GA

Provider Addresses for DR. JEREMIAS RAFAEL DUARTE (DO)

  • 2951 SATELLITE BLVD APT 1824

    DULUTH, GA 300962354

    Phone:

    Type: Mailing

  • 1434 AUTUMNRIDGE DR

    COLUMBUS, GA 319043023

    Phone: (706) 536-9061

    Type: Mailing

  • 2013 ALDBURY LN

    WOODSTOCK, GA 301896689

    Phone: (706) 536-9061

    Type: Mailing

  • Palisades Medical Center, 7600, River Road, North Bergen, Hudson County, New Jersey, 07047, United States

    NORTH BERGEN, NJ 070476217

    Phone: (210) 710-2756

    Type: Location

  • 1434 Autumnridge Dr

    Columbus, GA 319043023

    Phone: (706) 536-9061

    Type: Location

  • 7600 River Rd

    North Bergen, NJ 070476217

    Phone: (210) 710-2756

    Type: Location

  • 9040 ROSWELL RD STE 500

    ATLANTA, GA 303501863

    Phone: (404) 490-3391

    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: 2021-06-19

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
I20210619000072IGeneral PracticeGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3321$0
View full utilization report →

Insurance plans in this area (ZIP 30096)

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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: 8820444706View full group profile
NameSpecialtyState
Pain Management, Family Practice, Obstetrics/GynecologyGA
Family PracticeFL
Physician AssistantGA
C H I R O P R A C T I CGA

Reviews

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Frequently asked questions

How do I look up DR. JEREMIAS RAFAEL DUARTE (DO) by NPI?
Use NPI 1780189514 when you need to reference DR. JEREMIAS RAFAEL DUARTE (DO) in forms, claims, or directories.
Is DR. JEREMIAS RAFAEL DUARTE (DO)'s NPI currently valid?
The extract we use shows DR. JEREMIAS RAFAEL DUARTE (DO) as active.
Does DR. JEREMIAS RAFAEL DUARTE (DO) list a primary specialty?
If you are matching referrals, note General Practice Physician for DR. JEREMIAS RAFAEL DUARTE (DO). Clinical services aligned with this taxonomy classification.
Where is DR. JEREMIAS RAFAEL DUARTE (DO)'s primary listing?
We display Duluth, Georgia because that is what the record indicates for DR. JEREMIAS RAFAEL DUARTE (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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