BELTLINE BARIATRIC AND SURGICAL GROUP LLC – Surgery Physician, NPI 1700232865
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BELTLINE BARIATRIC AND SURGICAL GROUP LLC
Howell Mill Road Northwest, Woodward, Atlanta, Fulton County, Georgia, 30318-2522, United States
ATLANTA, GA 303272100
Phone: (470) 419-4380
Fax: (877) 708-5261
Type: Location
371 E PACES FERRY RD NE STE 750
ATLANTA, GA 303052372
Phone: (470) 419-4380
Fax: (470) 298-7736
Type: Mailing
550 Eagles Landing Pkwy Ste 204
Stockbridge, GA 302819082
Phone: (678) 782-3866
Fax: (470) 298-7732
Type: Location
300 Bullsboro Dr Ste B-C
Newnan, GA 302631680
Phone: (770) 683-3230
Fax: (470) 298-7732
Type: Location
2110 POWERS FERRY RD SE STE 302
ATLANTA, GA 303395015
Phone: (470) 419-4380
Fax: (470) 298-7736
Type: Mailing
371 E PACES FERRY RD NE STE 740
ATLANTA, GA 303052372
Phone: (470) 419-4380
Fax: (470) 298-7736
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: 2016-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (924 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20161101001707 | O | Clinic/Group Practice | GA | 2023-11-30 |
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.
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 30327)
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