JONATHAN DAVID PEWITT (M.D.) – Dermatology Physician, NPI 1912198979

JONATHAN DAVID PEWITT (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 065413 (GA). The NPI Number for JONATHAN DAVID PEWITT (M.D.) is 1912198979

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN DAVID PEWITT (M.D.)
NPI
1912198979
Phone
(770) 422-8815
Address
835 COGBURN AVENUE
Enumeration Date
6 August 2007
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
7704225557
Graduation Year
2007 (19 years ago)
PAC ID
7719155902
Group Practice PAC ID
6800885757
Professional Enrollment ID
I20110713000589
Address ID
GA300601008MA835XXNWXX401

Contacts

Secure Messaging
jonathan.pewitt.1@1498.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

410 DERMATOLOGY in GA

Loading map...

Provider Addresses for JONATHAN DAVID PEWITT (M.D.)

  • 835 COGBURN AVENUE

    SUITE 250

    MARIETTA, GA 300601010

    Phone: (770) 422-8815

    Fax: (770) 422-8816

    Type: Mailing

  • 221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 301651369

    Phone: (762) 235-1000

    Type: Mailing

  • 550, Redmond Road, Mount Berry, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 301651416

    Phone: (706) 233-8516

    Fax: (706) 233-8517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,187.

Total Amount is formed as General ($1,187) + Research ($0) + Ownership ($0) = $1,187.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($372).

Total Amount

$1,187

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2011-07-13

PECOS data refreshed: 2026-06-15

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
I20110713000589IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,136192$0
17000Destruction of precancer skin growth, 1 growth277236$0
99213Established patient office or other outpatient visit, 20-29 minutes230201$0
17110Destruction of skin growth, 1-14 growths196184$0
99214Established patient office or other outpatient visit, 30-39 minutes182149$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

Loading plans...

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: 6800885757View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YAL
D E R M A T O L O G YMA
D E R M A T O L O G YNC
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is JONATHAN DAVID PEWITT (M.D.) listed with a National Provider Identifier?
Yes — JONATHAN DAVID PEWITT (M.D.) has NPI 1912198979 on file in the registry.
Is there an active status for JONATHAN DAVID PEWITT (M.D.)?
For scheduling context, JONATHAN DAVID PEWITT (M.D.) is shown as active in the registry.
What kind of doctor is JONATHAN DAVID PEWITT (M.D.)?
JONATHAN DAVID PEWITT (M.D.) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JONATHAN DAVID PEWITT (M.D.)?
Travel planning: use Marietta, Georgia as the reference point for JONATHAN DAVID PEWITT (M.D.), then confirm.
Can I trust this NPI listing for JONATHAN DAVID PEWITT (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

DR. MITRA MOFID (M.D.)

Dermatology Physician
3843 CHATTAHOOCHEE SUMMIT DR SE
NPI: 1669462610

DR. ANNA M PARE' (M.D.)

Dermatology Physician
4800 OLDE TOWNE PKWY STE 250
NPI: 1437135274
2045 Peachtree Rd NE Ste 200
NPI: 1366428146

DR. MARK ALAN CHASTAIN (MD)

Dermatology Physician
835, Cogburn Avenue Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1790756138
835, Cogburn Avenue Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1215908652
Marble Mill Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1689631434

MR. JARED SAMUEL FRIEDMAN (MD)

MOHS-Micrographic Surgery Physician
Marble Mill Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1316904147
Marble Mill Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1215994470