COWRY MEDICAL GROUP, LLC – Nephrology Physician, NPI 1730688490
Nephrology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COWRY MEDICAL GROUP, LLC
8570 Hospital Dr
Douglasville, GA 301342413
Phone: (470) 227-8130
Fax: (470) 747-7588
Type: Location
103 Mountain Brook Dr Ste 100
Holly Springs, GA 301159078
Phone: (470) 227-8130
Fax: (470) 747-7588
Type: Location
3545 Cruse Rd Ste 103
Lawrenceville, GA 300443169
Phone: (470) 227-8130
Fax: (470) 747-7588
Type: Location
1720 MARS HILL RD NW # 120-380
ACWORTH, GA 301017127
Phone: (470) 227-8130
Fax: (470) 747-7588
Type: Mailing
4450 CALIBRE XING NW STE 1126
ACWORTH, GA 301014104
Phone: (470) 227-8130
Fax: (470) 747-7588
Type: Location
1720 MARS HILL RD NW STE 120-380
ACWORTH, GA 301017127
Phone: (470) 227-8130
Fax: (470) 747-7588
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2018-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20180918003196 | O | Clinic/Group Practice | GA | 2023-09-30 |
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 30134)
Loading plans...
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.