IndividualActive

Stephen James, MD, MBA

NPI 1497218192 · Family Medicine Physician · Atlanta, GA

Provider details

NPI number: 1497218192
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD, MBA
Sex: Male
Sole proprietor: No
License: 90766 (GA)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense 90766 (GA)
Allopathic & Osteopathic Physicians
Hospitalist Physician208M00000XLicense 343353 (LA)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Established profile(55/100 index)

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

Registry tenure28% of score
7 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
322 Medicare services, 2024 (ranked within specialty)

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)
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	149	$74
Hospital Discharge Day Management, More Than 30 Minutes99239	52	$106
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	47	$121
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	45	$162
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	29	$110

Typical Medicare-allowed amounts for these services range $74–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

720 Westview Dr Sw

Atlanta, GA 30310-1458

Phone: (404) 752-1000

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Mailing address