GODLY OBOMATE JACK MD
NPI 1114452588
Internal Medicine - Interventional Cardiology in Cartersville, GA

Q: What is Godly Jack's NPI number?

The NPI number for Godly Jack is 1114452588. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Godly Jack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Godly Jack was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment

85.65/100

CMS Quality Rating

150 GENTILLY BLVD, CARTERSVILLE, GA 30120(470) 490-6670(770) 382-5762 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Apr 16, 2024, Mar 12, 2023 and 1 more (4 updates tracked since 2017).

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About Godly Obomate Jack Md NPPES

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

GODLY OBOMATE JACK MD (NPI 1114452588) is an individual interventional cardiology provider in Cartersville, Georgia, licensed in Georgia (98756) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114452588

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameGODLY OBOMATE JACKCredential: MD

Location Address150 GENTILLY BLVDCartersville, GA 30120-8522

Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000

Phone(470) 490-6670

Fax(770) 382-5762

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 24, 2017

Last NPPES UpdateJune 20, 20244 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1114452588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in GA · 98756

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 98756 (GA)

150 GENTILLY BLVD, Cartersville, GA 30120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Godly Obomate Jack 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 ID244508224

PECOS Enrollment IDI20240612000296

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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

79 services59 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

60 services59 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

54 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

51 services25 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

46 services46 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

33 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110030

Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County

Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

85.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.5

Improvement Activities

Cost

73.97

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.

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