Cumming Internal Medicine – Primary Care Clinic/Center, NPI 1770799702

Cumming Internal Medicine is a healthcare provider. based in Roswell, Georgia. specializing in Primary Care Clinic/Center. The organization holds a License No. ========= (GA). The NPI Number for Cumming Internal Medicine is 1770799702

Main info

Organization
Name
Cumming Internal Medicine
NPI
1770799702
Phone
(770) 442-9016
Address
1380 UPPER HEMBREE RD
Authorized Official
MRS. HEIDI MABRY BILLING MANAGER
Enumeration Date
15 May 2007
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Cumming Internal Medicine

  • 1380, Upper Hembree Road, Roswell, Fulton, Georgia, 30009, United States

    ROSWELL, GA 300761146

    Phone: (770) 442-9016

    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: 2015-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1014 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
O20150817001577OClinic/Group PracticeGA2023-08-31

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 30076)

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Reviews

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Frequently asked questions

Is Cumming Internal Medicine listed with a National Provider Identifier?
Yes — Cumming Internal Medicine has NPI 1770799702 on file in the registry.
Is Cumming Internal Medicine still an active registrant?
Cumming Internal Medicine carries an active NPI according to the public dataset.
What area of care is associated with Cumming Internal Medicine?
Cumming Internal Medicine's record emphasizes Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Cumming Internal Medicine associated with Roswell?
Public fields place Cumming Internal Medicine around Roswell, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for Cumming Internal Medicine?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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