MR. BOBBY JOEL TREADWELL JR. PA-C
NPI 1033483458
Physician Assistant - Surgical in Acworth, GA

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
4550 COBB PARKWAY NORTH NW, SUITE 309B, ACWORTH, GA 30101(770) 917-6795(770) 529-9077 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Bobby Joel Treadwell Jr. Pa-c NPPES

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

MR. BOBBY JOEL TREADWELL JR. PA-C (NPI 1033483458) is an individual surgical provider in Acworth, Georgia, licensed in Georgia (5730) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033483458
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BOBBY JOEL TREADWELL JR.Credential: PA-C
Location Address4550 COBB PARKWAY NORTH NW, SUITE 309BAcworth, GA 30101-4180
Mailing Address4550 Cobb Parkway North Nw, Suite 309bAcworth, GA 30101-4180 · (770) 917-6795 · Fax (770) 529-9077
Fax(770) 529-9077
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 2, 2012
Last NPPES UpdateOctober 6, 2015
NPI 1033483458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 5730
4550 COBB PARKWAY NORTH NW, Acworth, GA 30101

Other Identifiers 2

Medicaid8101943NC
Medicare PINNC5758ANC

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

Mr. Bobby Joel Treadwell Jr. Pa-c 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 ID9638331291
PECOS Enrollment IDI20140616001961
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
240 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services90 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
56 services43 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
41 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
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

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Internal Medicine
4550 COBB PARKWAY NORTH NW, SUITE 201B
ACWORTH, GA 30101
Nurse Practitioner
4550 COBB PARKWAY NORTH NW
ACWORTH, GA 30101
Pharmacy (Community/Retail Pharmacy)
4550 COBB PARKWAY NORTH NW
ACWORTH, GA 30101
Physician Assistant
4550 COBB PARKWAY NORTH NW, SUITE 101
ACWORTH, GA 30101
Internal Medicine (Cardiovascular Disease)
4550 COBB PARKWAY NORTH NW, SUITE 213
ACWORTH, GA 30101
Audiologist
4550 COBB PARKWAY NORTH NW
ACWORTH, GA 30101
Surgery
4550 COBB PARKWAY NORTH NW
ACWORTH, GA 30101
Family Medicine
4550 COBB PARKWAY NORTH NW, SUITE 201
ACWORTH, GA 30101

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 Bobby Treadwell's NPI number?

The NPI number for Bobby Treadwell is 1033483458. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Bobby Treadwell located?

Bobby Treadwell practices at 4550 Cobb Parkway North NW Suite 309B, Acworth, GA 30101. The listed phone number is (770) 917-6795.

What is Bobby Treadwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bobby Treadwell enrolled in Medicare?

Yes. Bobby Treadwell 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 Bobby Treadwell accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Bobby Treadwell 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.

When was this NPI record last updated?

The NPPES record for Bobby Treadwell was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.