Atrium Health Floyd Specialty Care – Neonatal-Perinatal Medicine Physician, NPI 1992814586
Neonatal-Perinatal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Atrium Health Floyd Specialty Care
420, 2nd Avenue, Rome, Floyd County, Georgia, 30161, United States
SUITE 103
ROME, GA 301613209
Phone: (706) 509-3278
Type: Mailing
Floyd Medical Center, 304, Turner McCall Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301655621
Phone: (706) 509-5000
Fax: (706) 509-4608
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: 2024-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (192 days ago).
Enrollment records
20
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20061017000279 | O | Clinic/Group Practice | GA | TBD |
| O20201111000045 | O | Clinic/Group Practice | AL | 2025-11-30 |
| O20210317001944 | O | Clinic/Group Practice | TN | TBD |
| O20210317002213 | O | Clinic/Group Practice | NC | 2026-03-31 |
| O20210318002742 | O | Clinic/Group Practice | MD | 2026-04-30 |
| O20210329001896 | O | Clinic/Group Practice | PA | 2026-05-31 |
| O20210405000773 | O | Clinic/Group Practice | MS | 2026-06-30 |
| O20210412001552 | O | Clinic/Group Practice | CA | 2026-07-31 |
| O20211022001409 | O | Clinic/Group Practice | FL | TBD |
| O20220608001975 | O | Clinic/Group Practice | VA | TBD |
| O20220815003605 | O | Clinic/Group Practice | DC | TBD |
| O20220905000341 | O | Clinic/Group Practice | NJ | TBD |
| O20230207003715 | O | Clinic/Group Practice | TX | TBD |
| O20230410000086 | O | Clinic/Group Practice | NV | TBD |
| O20230421000667 | O | Clinic/Group Practice | MI | TBD |
| O20230425002027 | O | Clinic/Group Practice | IN | TBD |
| O20230518002934 | O | Clinic/Group Practice | MO | TBD |
| O20230927003013 | O | Clinic/Group Practice | AZ | TBD |
| O20240523002105 | O | Clinic/Group Practice | WA | TBD |
| O20240709002678 | O | Clinic/Group Practice | WV | TBD |
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 30161)
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