DR. DAREN C WANNAMAKER (DO) – Internal Medicine Physician, NPI 1780795708
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DAREN C WANNAMAKER (DO)
570 BRISCOE BLVD
LAWRENCEVILLE, GA 300464637
Phone: (877) 757-9964
Type: Location
4321 University Pkwy Ste 101
Evans, GA 308093093
Phone: (706) 685-4218
Fax: (706) 854-2189
Type: Location
570 Briscoe Blvd
Lawrenceville, GA 300464637
Phone: (877) 757-9964
Type: Location
6113, Riverview Parkway, Braselton, Hall County, Georgia, 30517, United States
BRASELTON, GA 305171639
Phone: (706) 251-2645
Fax: (678) 866-2199
Type: Mailing
805 PEACHTREE ST NE
STE A
ATLANTA, GA 303086009
Phone: (443) 363-3953
Type: Mailing
4285 JIM MOORE RD STE 200
DACULA, GA 300191551
Phone: (770) 442-1911
Fax: (770) 442-0306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $886.
Total Amount is formed as General ($886) + Research ($0) + Ownership ($0) = $886.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Novo Nordisk Inc ($151).
Total Amount
$886
General + Research + Ownership
Payments
44
Total payment records
General Amount
$886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20040825000180 | I | Internal Medicine | GA | 2023-08-31 |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 26 | $0 |
| 81003 | Automated urinalysis test | 18 | 15 | $0 |
| 83036 | Hemoglobin a1c level | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30046)
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