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DR. JANINE NICOLE PETTIFORD M.D.
NPI 1043541725
Surgery in Fayetteville, GA

Active since January 20, 2010PECOS EnrolledAccepts Medicare Assignment
325 NORTH JEFF DAVIS DR, FAYETTEVILLE, GA 30214(770) 461-1337(770) 461-0922 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2016, Nov 4, 2016 (2 updates tracked since 2016).

About Dr. Janine Nicole Pettiford M.d. NPPES

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

DR. JANINE NICOLE PETTIFORD M.D. (NPI 1043541725) is an individual surgery provider in Fayetteville, Georgia, licensed in Georgia (072414) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Saint Louis University School Of Medicine (2005).

NPPES Registry Identity

NPI1043541725
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. JANINE NICOLE PETTIFORDCredential: M.D.
Location Address325 NORTH JEFF DAVIS DRFayetteville, GA 30214
Mailing Address33 Upper Riverdale Road Sw, Suite 112Fayetteville, GA 30214-1627 · (770) 996-3190
Phone(770) 461-1337
Fax(770) 461-0922
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2005
Enumeration DateJanuary 20, 2010
Last NPPES UpdateNovember 8, 20162 updates tracked since enumeration
✔ NPI 1043541725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 072414✔ Licensed in TX · BP10023659✔ Licensed in MO · 2010013505
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.
325 NORTH JEFF DAVIS DR, Fayetteville, GA 30214
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Other Identifiers 1

Medicare PIN202I021079GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Janine Nicole Pettiford M.d. 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 ID7517289374
PECOS Enrollment IDI20141204002430
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Janine Pettiford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Regional Physicians Management Group, LLC
9.3 mi
Surgery
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
NPI 1043677271 (770) 991-8000
Northside Surgical Professional Services LLC
32 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

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 Janine Pettiford's NPI number?

The NPI number for Janine Pettiford is 1043541725. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Where is Janine Pettiford located?

Janine Pettiford practices at 325 North Jeff Davis Dr, Fayetteville, GA 30214. The listed phone number is (770) 461-1337.

What is Janine Pettiford's specialty?

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

Is Janine Pettiford enrolled in Medicare?

Yes. Janine Pettiford 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.

Which organizations bill Medicare for Janine Pettiford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janine Pettiford reassigns Medicare benefits to 2 organizations: Southern Regional Physicians Management Group, LLC (Riverdale, GA) and Northside Surgical Professional Services LLC (Atlanta, GA). Each 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 Janine Pettiford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janine Pettiford accept?

Health plans from Oscar Health list Janine Pettiford 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 Janine Pettiford affiliated with any hospitals?

According to CMS data, Janine Pettiford is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Janine Pettiford was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.