JAMES E. GLEASON JR, MDPC
NPI 1013198050
Family Medicine in Riverdale, GA
About James E. Gleason Jr, Mdpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES E. GLEASON JR, MDPC (NPI 1013198050) is a healthcare organization registered as a family medicine in Riverdale, Georgia and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through May 2, 2027 and lists James E Gleason, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
James E. Gleason Jr, Mdpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to James E. Gleason Jr, Mdpc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Riverdale, GA 30274
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0900654
James E Gleason Jr Mdpc · Riverdale, GAFrequently 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 James E. Gleason Jr, Mdpc's NPI number?
The NPI number for James E. Gleason Jr, Mdpc is 1013198050. It was assigned to this organization in the NPPES registry on November 19, 2007.
Where is James E. Gleason Jr, Mdpc located?
James E. Gleason Jr, Mdpc is located at 33 Upper Riverdale Rd SW Ste 118, Riverdale, GA 30274. The listed phone number is (770) 994-6969.
What is James E. Gleason Jr, Mdpc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James E. Gleason Jr, Mdpc enrolled in Medicare?
Yes. James E. Gleason Jr, Mdpc is registered in the Medicare PECOS enrollment system.
When is James E. Gleason Jr, Mdpc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through James E. Gleason Jr, Mdpc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to James E. Gleason Jr, Mdpc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does James E. Gleason Jr, Mdpc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0900654) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for James E. Gleason Jr, Mdpc was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# James E. Gleason Jr, Mdpc · NPI 1013198050
Family Medicine organization in Riverdale, Georgia. Organization record, active in the CMS NPPES registry since November 19, 2007.
## Identity
- **NPI:** 1013198050 (Entity type: Organization)
- **Enumerated:** November 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Gleason, MD
## Practice location
- **Address:** 33 UPPER RIVERDALE RD SW STE 118, Riverdale, GA 30274-2642
- **Phone:** (770) 994-6969 · **Fax:** (888) 651-5324
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2024
- **Other identifiers:** Medicaid 000573922D (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013198050) · Data from the CMS NPPES public registry.