Bartow Family Health Center – Federally Qualified Health Center (FQHC), NPI 1407281058

Bartow Family Health Center is a healthcare provider. based in Cumming, Georgia. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Bartow Family Health Center is 1407281058

Main info

Organization
Name
Bartow Family Health Center
NPI
1407281058
Phone
(770) 887-1668
Address
PO BOX 307
Authorized Official
MR. TODD SHIFFLET CEO
Enumeration Date
13 September 2013
Last Update Date
9 May 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness80
Years active:12State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Bartow Family Health Center

  • PO BOX 307

    CUMMING, GA 300280307

    Phone: (770) 887-1668

    Fax: (770) 887-3462

    Type: Mailing

  • 775 WEST AVE

    SUITE A

    CARTERSVILLE, GA 301203481

    Phone: (770) 887-1668

    Fax: (770) 887-3462

    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: 2013-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (681 days ago).

Enrollment records

2

Earliest due date

2024-07-31

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
O20040302001307OClinic/Group PracticeGA2025-11-30
O20131231000801OFederally Qualified Health Center (Fqhc)GA2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 30028)

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Reviews

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Frequently asked questions

Can I cross-check Bartow Family Health Center using NPI 1407281058?
NPI 1407281058 belongs to Bartow Family Health Center; compare other details if you need extra assurance.
Active or inactive — what applies to Bartow Family Health Center?
You should see Bartow Family Health Center as active in CMS-hosted NPPES data.
What kind of doctor is Bartow Family Health Center?
Bartow Family Health Center is associated with Federally Qualified Health Center (FQHC) in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Bartow Family Health Center?
Travel planning: use Cumming, Georgia as the reference point for Bartow Family Health Center, then confirm.
Does Bartow Family Health Center accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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