What is Godly Jack's NPI number?

Godly Jack's National Provider Identifier (NPI) is 1114452588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Godly Jack's specialty?

Godly Jack is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).

Where is Godly Jack located?

Godly Jack's practice location on file with NPPES is 150 Gentilly Blvd, Cartersville, GA 30120-8522.

What is Godly Jack's phone number?

The practice phone number listed in the NPPES registry for Godly Jack is (470) 490-6670.

Does Godly Jack accept Medicare?

Godly Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Godly Jack's NPI active?

Yes — Godly Jack's NPI (1114452588) is active in the NPPES registry as of the last update on 2024-06-20.

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Godly Jack, MD

NPI 1114452588 · Interventional Cardiology Physician · Cartersville, GA

Godly Jack, MD is a Interventional Cardiology Physician provider in Cartersville, GA (NPI 1114452588).

Provider details

NPI number: 1114452588
Entity type: Individual
Primary specialty: Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 98756 (GA)

Practice location

150 Gentilly Blvd

Cartersville, GA 30120-8522

Phone: (470) 490-6670

Fax: (770) 382-5762

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

221 Technology Pkwy Nw

Rome, GA 30165-1369

Specialties & taxonomies

Interventional Cardiology PhysicianPrimary207RI0011XLicense 98756 (GA)
Allopathic & Osteopathic Physicians
Cardiovascular Disease Physician207RC0000XLicense 98756 (GA)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Practitioner - Interventional Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
9 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
1 documented practice location
Medicare service volume (vs. specialty peers)25% of score
445 Medicare services, 2024 (ranked within specialty)
Open Payments transparency10% of score
Has Open Payments disclosures (2024)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010	79	$7
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	60	$166
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	54	$135
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	51	$111
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306	46	$63
Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Atorvastatin Calcium	29	17
Amlodipine Besylate	24	11
Metoprolol Succinate	16	—
Carvedilol	15	—
Lisinopril	13	—

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do not include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$683 across 15 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2017-04-24
Last updated: 2024-06-20
Certified: 2024-06-20

Frequently asked questions

What is Godly Jack's NPI number?: Godly Jack's National Provider Identifier (NPI) is 1114452588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Godly Jack's specialty?: Godly Jack is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
Where is Godly Jack located?: Godly Jack's practice location on file with NPPES is 150 Gentilly Blvd, Cartersville, GA 30120-8522.
What is Godly Jack's phone number?: The practice phone number listed in the NPPES registry for Godly Jack is (470) 490-6670.
Does Godly Jack accept Medicare?: Godly Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Godly Jack's NPI active?: Yes — Godly Jack's NPI (1114452588) is active in the NPPES registry as of the last update on 2024-06-20.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010	79	$7
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	60	$166
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	54	$135
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	51	$111
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306	46	$63
Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.

Drug

Part D claims (2024)

Beneficiaries

Atorvastatin Calcium

Amlodipine Besylate

Metoprolol Succinate

—

Carvedilol

—

Lisinopril

—

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$683 across 15 records (Open Payments 2024)

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments