DR. JOSE M ARTADI (MD) – Psychiatry Physician, NPI 1811992787

DR. JOSE M ARTADI (MD) is a healthcare provider. based in Roswell, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME79717 (FL). The NPI Number for DR. JOSE M ARTADI (MD) is 1811992787

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSE M ARTADI (MD)
NPI
1811992787
Phone
(770) 642-4236
Address
490 SUN VALLEY DR
Enumeration Date
16 June 2005
Last Update Date
7 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
7705458359
Graduation Year
2000 (26 years ago)
PAC ID
4183797384
Group Practice PAC ID
4587932348
Professional Enrollment ID
I20080722000172
Address ID
GA300972803DU3883XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for DR. JOSE M ARTADI (MD)

  • 490, Sun Valley Drive, Roswell, Fulton, Georgia, 30076, United States

    SUITE 205

    ROSWELL, GA 300765615

    Phone: (770) 642-4236

    Fax: (770) 642-4239

    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)

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: 2008-07-22

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
I20080722000172IPsychiatryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30076)

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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: 4587932348View full group profile
NameSpecialtyState
Clinical Social WorkerGA

Reviews

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Frequently asked questions

What identifier follows DR. JOSE M ARTADI (MD) across health systems?
The NPI 1811992787 uniquely identifies DR. JOSE M ARTADI (MD) in U.S. healthcare data.
Quick check: is DR. JOSE M ARTADI (MD) active?
Public NPPES data shows DR. JOSE M ARTADI (MD) with an active NPI status right now.
What services align with DR. JOSE M ARTADI (MD)'s listing?
DR. JOSE M ARTADI (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOSE M ARTADI (MD) tied to Roswell, Georgia?
If you are local to Roswell, Georgia, DR. JOSE M ARTADI (MD) may be relevant to your search.
Why is information missing for DR. JOSE M ARTADI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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