Active NPI 1861552127 Individual Practitioner Male Practitioner

Dr. Billy George Chacko , MD

Internal Medicine • Rome, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Billy Chacko, MD is a certified Internal Medicine practicing in Rome, GA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Chacko delivers high-quality medical care to the local community at 550 REDMOND RD NW.

Dr. Chacko is affiliated with Harbin Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of both sides of head and neck blood flow, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 Redmond Rd Nw

Rome, GA 301651416

Telephone 7062338508

Fax 7062338509

Associated Practice Facility / Clinic

🏢 Harbin Clinic, Llc Facility NPI 1629287081

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Rome, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +20.1 yrs vs City Avg

City Avg: 17.9 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

81 Specialists

Practicing in Rome, GA (4065 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chacko (38 Years) 38 Yrs

Rome Specialty Average (17.9 Years) 17.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	225	$162.21	$116.57
99213 Established patient office or other outpatient visit, typically 15 minutes	157	117	$112.87	$83.02
93880 Ultrasound of both sides of head and neck blood flow	139	135	$532.84	$165.98
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	122	103	$310.00	$101.41
93970 Ultrasound study of arm or leg veins with compression and maneuvers	110	107	$430.00	$158.14
85610 Blood test, clotting time	91	11	$30.00	$4.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$245.00	$151.85
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	67	67	$175.00	$19.90
36415 Insertion of needle into vein for collection of blood sample	63	30	$15.00	$8.51
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	50	49	$430.00	$147.03
93880 Ultrasound of both sides of head and neck blood flow	48	48	$235.00	$35.16
93922 Ultrasound study of arm and leg arteries	45	45	$215.00	$66.97
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	36	33	$1080.00	$235.09
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	32	24	$8000.00	$876.84
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	31	$200.00	$30.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$160.00	$99.63
93922 Ultrasound study of arm and leg arteries	19	19	$180.00	$11.32
93990 Ultrasound of dialysis access	18	16	$390.00	$108.88
36471 Injection of chemical agent into multiple incompetent veins of leg	14	12	$700.00	$180.74
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	14	14	$450.00	$122.28
82565 Blood creatinine level	13	12	$30.00	$5.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	393	257	$108.79	$83.94
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	167	127	$309.19	$107.00
93880 Ultrasound of both sides of head and neck blood flow	136	135	$532.79	$169.54
85610 Blood test, clotting time	135	13	$30.00	$4.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	93	$161.44	$120.27
93970 Ultrasound study of arm or leg veins with compression and maneuvers	77	77	$430.00	$167.50
93922 Ultrasound study of arm and leg arteries	57	56	$214.39	$66.82
36415 Insertion of needle into vein for collection of blood sample	56	32	$15.00	$8.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	53	52	$175.00	$20.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$157.25	$102.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$242.24	$158.53
93880 Ultrasound of both sides of head and neck blood flow	49	49	$235.00	$36.41
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	47	47	$425.11	$158.11
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	41	40	$1080.00	$235.60
36471 Injection of chemical agent into multiple incompetent veins of leg	32	21	$597.19	$178.01
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	31	22	$8000.00	$992.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	17	$200.00	$28.66
93922 Ultrasound study of arm and leg arteries	14	14	$180.00	$11.92
93990 Ultrasound of dialysis access	14	14	$390.00	$117.03
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	14	14	$380.00	$104.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	219	$155.63	$119.56
99213 Established patient office or other outpatient visit, typically 15 minutes	212	157	$106.65	$83.58
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	180	141	$310.00	$108.54
93880 Ultrasound of both sides of head and neck blood flow	127	126	$535.00	$172.80
85610 Blood test, clotting time	125	12	$30.00	$4.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$240.00	$156.54
93880 Ultrasound of both sides of head and neck blood flow	82	81	$235.00	$37.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	81	79	$430.00	$169.02
36415 Insertion of needle into vein for collection of blood sample	64	35	$15.00	$2.84
93922 Ultrasound study of arm and leg arteries	57	57	$215.00	$69.85
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	56	54	$175.00	$19.87
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	47	44	$430.00	$160.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$155.00	$104.00
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	37	37	$1080.00	$246.89
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	32	23	$8000.00	$1000.17
36471 Injection of chemical agent into multiple incompetent veins of leg	29	19	$465.00	$187.33
93970 Ultrasound study of arm or leg veins with compression and maneuvers	24	24	$200.00	$33.02
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	19	19	$380.00	$128.98
93922 Ultrasound study of arm and leg arteries	14	14	$75.00	$11.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	313	$154.42	$119.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	201	153	$310.00	$108.79
93880 Ultrasound of both sides of head and neck blood flow	182	177	$533.35	$178.82
36415 Insertion of needle into vein for collection of blood sample	127	47	$15.00	$3.00
93880 Ultrasound of both sides of head and neck blood flow	118	118	$235.00	$37.73
85610 Blood test, clotting time	104	15	$30.00	$4.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$237.81	$156.93
93970 Ultrasound study of arm or leg veins with compression and maneuvers	98	96	$427.65	$173.50
99213 Established patient office or other outpatient visit, typically 15 minutes	93	86	$113.33	$85.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	71	70	$175.00	$21.34
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	68	65	$430.00	$164.31
93922 Ultrasound study of arm and leg arteries	66	66	$212.88	$69.20
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	45	34	$8000.00	$1134.23
93970 Ultrasound study of arm or leg veins with compression and maneuvers	41	40	$200.00	$32.34
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	31	30	$700.00	$255.82
93990 Ultrasound of dialysis access	26	23	$390.00	$119.60
93922 Ultrasound study of arm and leg arteries	26	26	$180.00	$12.18
36471 Injection of chemical agent into multiple incompetent veins of leg	19	14	$447.63	$149.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$155.00	$102.94
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	16	16	$380.00	$122.57
93923 Complete ultrasound study of arm and leg arteries	14	14	$380.00	$100.07
93924 Ultrasound study of arteries of both legs at rest and exercise	11	11	$400.00	$130.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	505	366	$151.02	$103.48
93880 Ultrasound of both sides of head and neck blood flow	194	191	$535.00	$179.64
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	165	145	$310.00	$110.96
93880 Ultrasound of both sides of head and neck blood flow	144	142	$235.00	$38.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$235.00	$157.55
85610 Blood test, clotting time	136	13	$30.00	$4.26
36415 Insertion of needle into vein for collection of blood sample	122	61	$15.00	$2.93
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	114	111	$175.00	$22.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	92	90	$430.00	$176.69
93922 Ultrasound study of arm and leg arteries	80	80	$215.00	$70.67
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	78	72	$430.00	$167.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	41	41	$200.00	$34.78
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$122.30	$71.07
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	34	33	$685.29	$231.85
93923 Complete ultrasound study of arm and leg arteries	29	29	$380.00	$107.42
93922 Ultrasound study of arm and leg arteries	29	28	$180.00	$12.76
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	21	18	$8000.00	$1223.76
93990 Ultrasound of dialysis access	20	19	$390.00	$126.15
80053 Blood test, comprehensive group of blood chemicals	17	16	$60.00	$10.10
93923 Complete ultrasound study of arm and leg arteries	16	16	$170.00	$22.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$155.00	$104.29
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	12	12	$380.00	$125.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	704	422	$150.74	$102.39
93880 Ultrasound of both sides of head and neck blood flow	233	229	$535.00	$182.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	223	175	$310.00	$108.55
85610 Blood test, clotting time	176	17	$30.00	$4.28
93880 Ultrasound of both sides of head and neck blood flow	162	162	$235.00	$40.24
36415 Insertion of needle into vein for collection of blood sample	152	81	$15.00	$2.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$235.00	$155.91
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	118	117	$175.00	$22.02
93970 Ultrasound study of arm or leg veins with compression and maneuvers	116	115	$428.02	$176.96
93922 Ultrasound study of arm and leg arteries	98	97	$212.14	$69.38
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	78	75	$430.00	$164.93
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$112.27	$70.66
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	49	48	$700.00	$244.04
93922 Ultrasound study of arm and leg arteries	42	41	$180.00	$12.74
93970 Ultrasound study of arm or leg veins with compression and maneuvers	39	38	$200.00	$34.64
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	38	31	$8000.00	$1304.55
36471 Injection of chemical agent into multiple incompetent veins of leg	25	16	$410.00	$184.09
80053 Blood test, comprehensive group of blood chemicals	24	22	$60.00	$11.51
93923 Complete ultrasound study of arm and leg arteries	19	19	$380.00	$119.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	14	$40.00	$8.46
93990 Ultrasound of dialysis access	14	13	$390.00	$126.37
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	14	14	$380.00	$138.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$155.00	$104.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	788	474	$150.43	$100.10
93880 Ultrasound of both sides of head and neck blood flow	280	267	$530.71	$175.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	218	170	$309.38	$106.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$235.00	$154.13
93880 Ultrasound of both sides of head and neck blood flow	169	168	$235.00	$39.32
36415 Insertion of needle into vein for collection of blood sample	168	100	$15.00	$2.85
85610 Blood test, clotting time	151	16	$30.00	$4.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	144	140	$428.40	$174.82
93922 Ultrasound study of arm and leg arteries	120	118	$212.67	$71.30
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	87	84	$427.36	$159.39
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	83	82	$175.00	$21.17
99213 Established patient office or other outpatient visit, typically 15 minutes	62	50	$109.52	$69.17
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	49	49	$700.00	$251.53
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	46	29	$8000.00	$1380.85
93922 Ultrasound study of arm and leg arteries	25	25	$180.00	$12.56
36471 Injection of chemical agent into multiple incompetent veins of leg	21	16	$410.00	$173.17
93990 Ultrasound of dialysis access	20	17	$390.00	$126.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$155.00	$103.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	16	$200.00	$33.99
80053 Blood test, comprehensive group of blood chemicals	16	14	$60.00	$12.78
93926 Ultrasound of one leg arteries or artery grafts	14	14	$325.00	$115.53
93925 Ultrasound of leg arteries or artery grafts	14	14	$500.00	$219.91
80048 Blood test, basic group of blood chemicals (calcium, total)	14	13	$50.00	$9.37
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	13	13	$380.00	$139.21
93923 Complete ultrasound study of arm and leg arteries	12	12	$380.00	$119.42
84443 Blood test, thyroid stimulating hormone (TSH)	12	12	$70.00	$20.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	674	421	$150.00	$98.62
93880 Ultrasound of both sides of head and neck blood flow	266	263	$535.00	$178.60
85610 Blood test, clotting time	261	29	$30.00	$4.98
36415 Insertion of needle into vein for collection of blood sample	207	92	$15.00	$2.86
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	189	143	$310.00	$104.20
93880 Ultrasound of both sides of head and neck blood flow	180	177	$235.00	$38.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$235.00	$155.76
93970 Ultrasound study of arm or leg veins with compression and maneuvers	128	124	$430.00	$174.99
93922 Ultrasound study of arm and leg arteries	115	114	$215.00	$70.71
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	98	97	$430.00	$161.69
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	74	74	$175.00	$21.15
99213 Established patient office or other outpatient visit, typically 15 minutes	44	33	$105.00	$68.37
93970 Ultrasound study of arm or leg veins with compression and maneuvers	43	43	$200.00	$33.34
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	38	38	$605.26	$252.14
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	36	25	$8000.00	$1296.01
93922 Ultrasound study of arm and leg arteries	28	28	$180.00	$11.99
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	24	24	$380.00	$136.16
36471 Injection of chemical agent into multiple incompetent veins of leg	20	15	$410.00	$144.00
93923 Complete ultrasound study of arm and leg arteries	19	19	$380.00	$113.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$155.00	$102.38
93926 Ultrasound of one leg arteries or artery grafts	16	16	$325.00	$118.47
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	15	15	$201.60	$56.90
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$40.00	$10.45
93990 Ultrasound of dialysis access	12	12	$390.00	$96.90

Medical Specialties & State Licenses

CMS Verified: 2020-03-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 043900

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Harbin Clinic Llc

150 Gentilly Blvd, Cartersville, GA 301208522

Phone: 4704907470

Harbin Clinic Llc

501 Redmond Rd Nw, Rome, GA 301651415

Phone: 7062910291

Harbin Clinic Llc

14 Cherokee Rd, Cedartown, GA 301254381

Phone: 7707495400

Harbin Clinic Llc

1825 Martha Berry Blvd Nw, Rome, GA 301651625

Phone: 7622352495

Harbin Clinic Llc

504 Redmond Rd Nw, Rome, GA 301651416

Phone: 7622353130

Harbin Clinic Llc

550 Redmond Rd Nw, Rome, GA 301651416

Phone: 7622353340

Harbin Clinic Llc

101 Redmond Rd, Rome, GA 301651535

Phone: 7622351760

Harbin Clinic Llc

796 N Division St Nw, Rome, GA 301651404

Phone: 7622353760

Harbin Clinic Llc

855 Curtis Pkwy Se, Calhoun, GA 307013688

Phone: 7066245180

Harbin Clinic Llc

304 Turner Mccall Blvd Sw, Rome, GA 301655621

Phone: 7065095000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Sonia Turner , FNP-BC

Nurse Practitioner

NPI 1093405169

Family Nurse Practitioner (Board Certified)

Dr. Frank Stegall , MD

Surgery - Vascular Surgery

NPI 1285950055

Doctor of Medicine (M.D.)

Robin Hawkland , NP-C

Nurse Practitioner - Family

NPI 1467807750

Nurse Practitioner (Certified)

Dr. David Wilson , MD

Surgery - Vascular Surgery

NPI 1619947017

Doctor of Medicine (M.D.)

Caroline Parker , AGPCNP-BC

Nurse Practitioner

NPI 1760278881

AGPCNPBC

Dr. Jonathon Molnar , MD

Surgery - Vascular Surgery

NPI 1902968647

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address January 30, 2019

Registered at 221 TECHNOLOGY PKWY NW, ROME, GA 301651369 (Tel: 7622351000)

✅

NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2013

Registered at 550 REDMOND RD NW, ROME, GA 301651416 (Tel: 7062338508)

📍

Updated Business Mailing Address August 15, 2013

Registered at 1825 MARTHA BERRY BLVD NW, ROME, GA 301651625 (Tel: 7062955331)

👤

Provider Name / Credentials Updated August 15, 2013

Recorded as BILLY CHACKO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Internal Medicine (License #043900 in GA)

🟢

Initial NPI Registration & Enumeration December 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861552127

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 09, 2006

Last Update: March 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 Technology Pkwy Nw

Rome, GA 301651369

Phone: 7622351000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.