JOHN H LLOYD MD
NPI 1013963917
Emergency Medicine in Atlanta, GA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1358 MIDDLESEX AVE NE, ATLANTA, GA 30306(404) 944-7563 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Feb 24, 2020 (2 updates tracked since 2020).

About John H Lloyd Md NPPES

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

JOHN H LLOYD MD (NPI 1013963917) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Florida (ME0047335) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013963917
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN H LLOYDCredential: MD
Location Address1358 MIDDLESEX AVE NEAtlanta, GA 30306-3229
Mailing Address1358 Middlesex Ave NeAtlanta, GA 30306-3229
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1984
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1013963917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME0047335
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1358 MIDDLESEX AVE NE, Atlanta, GA 30306

Secondary Practice Locations 2

Location 11672 Overview DrRock Hill, SC 29730-7652 · Phone (800) 902-8800
Location 25012 Bristol Industrial Way Ste 109Buford, GA 30518-1775 · Phone (800) 902-8800 · Fax (844) 641-3103

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 H Lloyd 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 ID4486553443
PECOS Enrollment IDI20090128000153, I20250418000957
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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
785 services305 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
362 services217 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
245 services230 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
106 services106 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
83 services83 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30306 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Reported Quality Measures

Breast Cancer Screening
1%351 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%307 patients1/55-star benchmark: 98%
Controlling High Blood Pressure
54%407 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%377 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%377 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
64%7,632 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%825 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%20 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%2,087 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,076 patients
0%1,076 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 827 patients
Patients totalRate: 17% · 851 patients
13%851 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Lloyd's NPI number?

The NPI number for John Lloyd is 1013963917. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is John Lloyd located?

John Lloyd practices at 1358 Middlesex Ave NE, Atlanta, GA 30306. The listed phone number is (404) 944-7563.

What is John Lloyd's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Lloyd enrolled in Medicare?

Yes. John Lloyd 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.

Is John Lloyd affiliated with any hospitals?

According to CMS data, John Lloyd is affiliated with Houston Healthcare, Grady Memorial Hospital and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for John Lloyd was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.