IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) – Hospitalist Physician, NPI 1801984562

IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) is a healthcare provider. based in Hampton, Georgia. specializing in HOSPITALIST, INTERNAL MEDICINE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. 56984 (GA). The NPI Number for IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) is 1801984562

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.)
NPI
1801984562
Phone
(770) 703-6601
Address
13957 Woolsey Rd
Enumeration Date
10 October 2006
Last Update Date
3 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
1052312311
Group Practice PAC ID
4981501814
Professional Enrollment ID
I20070130000046
Address ID
GA303452711AT2201XNEXX500

Contacts

Secure Messaging
icastrorevoredo146622@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,282 HOSPITALIST in GA

Provider Addresses for IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.)

  • 13957 Woolsey Rd

    Hampton, GA 302282246

    Phone: (770) 703-6601

    Type: Location

  • WellStar Spalding Regional Hospital, 601, South 8th Street, Griffin, Spalding County, Georgia, 30224, United States

    GRIFFIN, GA 302244213

    Phone: (770) 467-6314

    Fax: (770) 467-6324

    Type: Location

  • Woolsey Road, West Hampton, Hampton, Henry County, Georgia, 30228, United States

    HAMPTON, GA 302282246

    Phone: (770) 703-6601

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Corcept Therapeutics ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corcept Therapeutics$104
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: 2007-01-30

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
I20070130000046IInternal 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 minutes2927$0
View full utilization report →

Insurance plans in this area (ZIP 30228)

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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: 4981501814View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Interventional Radiology, Diagnostic RadiologyKY
A N E S T H E S I O L O G YGA
Gastroenterology, Internal MedicineGA
-GA
Oral Surgery, Maxillofacial SurgeryGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
P S Y C H I A T R YGA
Physician AssistantGA
Internal Medicine, Infectious DiseaseGA

Reviews

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Frequently asked questions

What is IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.)'s NPI number?
IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.)'s NPI is 1801984562 — the number used across U.S. healthcare to identify this provider.
Is IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) still an active registrant?
IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.)?
IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) registered?
Use Hampton, Georgia as the headline location for IRIS ALTAGRACIA CASTRO-REVOREDO (M.D.) here.
Can I trust this NPI listing for IRIS ALTAGRACIA CASTRO-REVOREDO (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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