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FRANK JOSEPH CRISONA III M.D.
NPI 1194175562
Internal Medicine in Atlanta, GA

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
3890 REDWINE RD SW STE 100, ATLANTA, GA 30331(404) 344-0059(770) 999-2620 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Jan 17, 2023, Jul 14, 2021 and 1 more (4 updates tracked since 2016).

About Frank Joseph Crisona Iii M.d. NPPES

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

FRANK JOSEPH CRISONA III M.D. (NPI 1194175562) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (008358) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194175562
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFRANK JOSEPH CRISONA IIICredential: M.D.
Location Address3890 REDWINE RD SW STE 100Atlanta, GA 30331-5583
Mailing Address3890 Redwine Rd Sw Ste 100Atlanta, GA 30331-5583 · (404) 344-0059 · Fax (770) 999-2620
Phone(404) 344-0059
Fax(770) 999-2620
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1194175562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 008358
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 89064 (SC), 63504 (TN)
3890 REDWINE RD SW STE 100, Atlanta, GA 30331
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13443 Dickerson Pike Ste 680Nashville, TN 37207-2537 · Phone (615) 865-3322 · Fax (615) 467-6692
Location 2701 Grove Rd Fl 5Greenville, SC 29605-4210 · Phone (864) 455-4411 · Fax (864) 455-4480

Other Identifiers 1

MedicaidGA2525SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Frank Joseph Crisona Iii 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 ID1254676471
PECOS Enrollment IDI20191106001707
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
281 services137 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.
146 services109 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
114 services112 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
83 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30331 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 3

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

DOLAPO JUSTINAH GBADEHAN NP
Nurse Practitioner (Family)
3890 REDWINE RD SW STE 100
ATLANTA, GA 30331
Fulton County (404) 344-0059
DANIELLE HUNT ORTEGA DO
Family Medicine
3890 REDWINE RD SW STE 100
ATLANTA, GA 30331
Fulton County (404) 344-0059
DANIEL YOUNGHOE KIM MD
Family Medicine
3890 REDWINE RD SW STE 100
ATLANTA, GA 30331
Fulton County (404) 344-0059

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 Frank Crisona's NPI number?

The NPI number for Frank Crisona is 1194175562. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Frank Crisona located?

Frank Crisona practices at 3890 Redwine Rd SW Ste 100, Atlanta, GA 30331. The listed phone number is (404) 344-0059.

What is Frank Crisona's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Frank Crisona enrolled in Medicare?

Yes. Frank Crisona 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 Frank Crisona accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Frank Crisona 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 Frank Crisona affiliated with any hospitals?

According to CMS data, Frank Crisona is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Frank Crisona was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.