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JUAN LUIS PIMENTEL JR. M.D.
NPI 1215923149
Internal Medicine - Nephrology in Greensboro, GA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
1000 COWLES CLINIC WAY STE CY-300, GREENSBORO, GA 30642(706) 410-2111 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2024, Jun 14, 2024, Mar 10, 2020 (3 updates tracked since 2020).

About Juan Luis Pimentel Jr. M.d. NPPES

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

JUAN LUIS PIMENTEL JR. M.D. (NPI 1215923149) is an individual nephrology provider in Greensboro, Georgia, licensed in Georgia (031547) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1215923149
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJUAN LUIS PIMENTEL JR.Credential: M.D.
Location Address1000 COWLES CLINIC WAY STE CY-300Greensboro, GA 30642
Mailing Address1000 Cowles Clinic Way Ste Cy300Greensboro, GA 30642-5285 · (706) 410-2111 · Fax (770) 981-0208
Phone(706) 410-2111
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1215923149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 031547
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1000 COWLES CLINIC WAY STE CY-300, Greensboro, GA 30642
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Secondary Practice Location 1

Location 15255 Snapfinger Park Dr, Suite 110Decatur, GA 30035-4084 · Phone (770) 981-2211 · Fax (770) 981-0208

Other Identifiers 2

Medicaid000702281GGA
Other390006879GA · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Juan Luis Pimentel Jr. 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 ID7911070982
PECOS Enrollment IDI20080729000502
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 10

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.
235 services56 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
118 services40 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
105 services28 patients
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.
100 services56 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
86 services13 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.
44 services32 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 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.

Other Providers at the Same Location NPPES 2

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

GEORGIA KIDNEY CARE
Clinic/Center
1000 COWLES CLINIC WAY STE CY-300
GREENSBORO, GA 30642
Greene County (706) 410-2111
DR. ARUN KUMAR M.D
Internal Medicine (Nephrology)
1000 COWLES CLINIC WAY STE CY-300
GREENSBORO, GA 30642
Greene County (706) 410-2111

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 Juan Pimentel's NPI number?

The NPI number for Juan Pimentel is 1215923149. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Juan Pimentel located?

Juan Pimentel practices at 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642. The listed phone number is (706) 410-2111.

What is Juan Pimentel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Juan Pimentel enrolled in Medicare?

Yes. Juan Pimentel 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 Juan Pimentel 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 Juan Pimentel 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 Juan Pimentel affiliated with any hospitals?

According to CMS data, Juan Pimentel is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Juan Pimentel was last updated on June 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.