JOHN SWEENEY MD
NPI 1013097351
Surgery in Atlanta, GA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365A CLIFTON RD NE, SUITE 3300, ATLANTA, GA 30322(404) 778-3712(404) 778-5033 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Sweeney Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN SWEENEY MD (NPI 1013097351) is an individual surgery provider in Atlanta, Georgia, licensed in Texas (L2684) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Rush Medical College Of Rush University (1988).

NPPES Registry Identity

NPI1013097351
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN SWEENEYCredential: MD
Location Address1365A CLIFTON RD NE, SUITE 3300Atlanta, GA 30322-1013
Mailing Address1364 Clifton Rd Ne, Room H124Atlanta, GA 30322-1059 · (404) 727-1540 · Fax (404) 712-5416
Fax(404) 778-5033
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1988
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 6, 2007
NPI 1013097351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · L2684
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1365A CLIFTON RD NE, Atlanta, GA 30322

Other Identifiers 3

Medicare UPING14290
Medicaid3181269TX
Medicare ID-Type Unspecified8946M0

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Sweeney Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082796669
PECOS Enrollment IDI20080205000320
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1365A CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365A CLIFTON RD NE, SUITE AT-627
ATLANTA, GA 30322
Audiologist
1365A CLIFTON RD NE, SUITE 2300
ATLANTA, GA 30322
Otolaryngology (Otolaryngic Allergy)
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Otolaryngology (Pediatric Otolaryngology)
1365A CLIFTON RD NE, EMORY UNIVERSITY, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1365A CLIFTON RD NE, CARDIOTHORACIC SURGERY DEPARTMENT
ATLANTA, GA 30322
Otolaryngology
1365A CLIFTON RD NE
ATLANTA, GA 30322
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1365A CLIFTON RD NE, SUITE 2236
ATLANTA, GA 30322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Sweeney's NPI number?

The NPI number for John Sweeney is 1013097351. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Sweeney located?

John Sweeney practices at 1365A Clifton Rd NE Suite 3300, Atlanta, GA 30322. The listed phone number is (404) 778-3712.

What is John Sweeney's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Sweeney enrolled in Medicare?

Yes. John Sweeney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Sweeney accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Sweeney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Sweeney affiliated with any hospitals?

According to CMS data, John Sweeney is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for John Sweeney was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.