DR. VICTORIA ISABEL SWEETNAM MD
NPI 1235626169
Internal Medicine - Hospice and Palliative Medicine in Atlanta, GA

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-0801 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Mar 3, 2022, Apr 16, 2018 (3 updates tracked since 2018).

About Dr. Victoria Isabel Sweetnam Md NPPES

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

DR. VICTORIA ISABEL SWEETNAM MD (NPI 1235626169) is an individual hospice and palliative medicine provider in Atlanta, Georgia, licensed in Georgia (96082) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Medical College Of Georgia School Of Medicine (2018).

NPPES Registry Identity

NPI1235626169
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameDR. VICTORIA ISABEL SWEETNAMCredential: MD
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address1624 Shady Pine RdCharleston, SC 29414-8197 · (843) 870-8527
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1235626169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Licenses Licensed in GA · 96082 Licensed in SC · 52439
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1364 CLIFTON RD NE, Atlanta, GA 30322

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

Dr. Victoria Isabel Sweetnam 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 ID648523340
PECOS Enrollment IDI20230731000898
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 6

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 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.
132 services75 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
85 services39 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.
60 services44 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.
22 services22 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.
12 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Victoria Sweetnam's NPI number?

The NPI number for Victoria Sweetnam is 1235626169. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Victoria Sweetnam located?

Victoria Sweetnam practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-0801.

What is Victoria Sweetnam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Victoria Sweetnam enrolled in Medicare?

Yes. Victoria Sweetnam 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 Victoria Sweetnam accept?

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

According to CMS data, Victoria Sweetnam is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Victoria Sweetnam was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.