ATHENS GERIATRICS AND INTERNAL MEDICINE, PC – Geriatric Medicine (Internal Medicine) Physician, NPI 1891918934

ATHENS GERIATRICS AND INTERNAL MEDICINE, PC is a healthcare provider. based in Athens, Georgia. specializing in Geriatric Medicine (Internal Medicine) Physician. The organization holds a License No. 049200 (GA). The NPI Number for ATHENS GERIATRICS AND INTERNAL MEDICINE, PC is 1891918934

Main info

Organization
Name
ATHENS GERIATRICS AND INTERNAL MEDICINE, PC
NPI
1891918934
Phone
(706) 549-8931
Address
1500 OGLETHORPE AVE
Authorized Official
DR. MARK JEROME PARADELA PRESIDENT M.D.
Enumeration Date
10 April 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ATHENS GERIATRICS AND INTERNAL MEDICINE, PC

  • 1500 OGLETHORPE AVE

    SUITE 3200

    ATHENS, GA 306062179

    Phone: (706) 549-8931

    Fax: (706) 549-0088

    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: 2007-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20070531000055OClinic/Group PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 30606)

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Reviews

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Frequently asked questions

What is the registry number for ATHENS GERIATRICS AND INTERNAL MEDICINE, PC?
The registry entry for ATHENS GERIATRICS AND INTERNAL MEDICINE, PC shows NPI 1891918934.
Does the public listing show ATHENS GERIATRICS AND INTERNAL MEDICINE, PC as active?
ATHENS GERIATRICS AND INTERNAL MEDICINE, PC's NPI record reflects an active status in NPPES.
What type of care does ATHENS GERIATRICS AND INTERNAL MEDICINE, PC provide?
ATHENS GERIATRICS AND INTERNAL MEDICINE, PC's profile centers on Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is ATHENS GERIATRICS AND INTERNAL MEDICINE, PC tied to Athens, Georgia?
If you are local to Athens, Georgia, ATHENS GERIATRICS AND INTERNAL MEDICINE, PC may be relevant to your search.
Why is information missing for ATHENS GERIATRICS AND INTERNAL MEDICINE, PC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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