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JEFFREY L. CULPEPPER M.D.
NPI 1245222637
Family Medicine in Atlanta, GA

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
1372 PEACHTREE ST NE STE 100, ATLANTA, GA 30309(470) 964-1700 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2026, Oct 13, 2021 (2 updates tracked since 2021).

About Jeffrey L. Culpepper M.d. NPPES

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

JEFFREY L. CULPEPPER M.D. (NPI 1245222637) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (038212) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245222637
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY L. CULPEPPERCredential: M.D.
Location Address1372 PEACHTREE ST NE STE 100Atlanta, GA 30309-3203
Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 266-4200
Phone(470) 964-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 22, 2005
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1245222637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 038212
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1372 PEACHTREE ST NE STE 100, Atlanta, GA 30309
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11856-14 Thompson Bridge RdGainesville, GA 30501-1663 · Phone (770) 534-2800 · Fax (770) 534-2889
Location 25100 E Broadway BlvdTucson, AZ 85711-3762 · Phone (520) 613-3001 · Fax (520) 504-6481

Other Identifiers 1

Medicaid00658336CGA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey L. Culpepper 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 ID2567586308
PECOS Enrollment IDI20260430004543
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

6

Medicare enrollment records show Jeffrey Culpepper reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
4.2 mi
Family Medicine
LENOX TOWERS 3400 PEACHTREE ROAD NE, STE 1250
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 100 clinicians in this Medicare group
NPI 1750066932 (470) 964-1700
Reagan Medical Center
19 mi
Neurological Surgery
1295 HEMBREE RD STE 200
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
NPI 1457968372 (678) 344-8700
Southeast Medical Group, P.C.
20 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911
Archwell Health Professional Services Of Alabama, LLC
147 mi
Internal Medicine
165 BESSEMER SUPER HWY
Midfield, AL 35228
  • Reassigned Medicare billing, Alabama enrollment
  • 32 clinicians in this Medicare group
NPI 1033792502 (205) 336-1534
Adventhealth Senior Care Inc
400 mi
Internal Medicine
1030 W CANTON AVE STE G100
Winter Park, FL 32789
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
NPI 1336756204 (407) 901-4086
Archwell Health Professional Services Of Arizona, LLC
1,573 mi
Internal Medicine
4315 E MAIN ST
Mesa, AZ 85205
  • Reassigned Medicare billing, Arizona enrollment
  • 110 clinicians in this Medicare group
NPI 1558026880 (480) 870-7500

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 9

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
70 services31 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
62 services33 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.
56 services50 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.
20 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims36 services$5.28 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers12 claims12 services$14.36 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers23 claims23 services$34.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$65.68 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SITIWE TEMBO EAVES
Nurse Practitioner (Family)
1372 PEACHTREE ST NE STE 100
ATLANTA, GA 30309
Fulton County (470) 964-1700
VPA PC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1372 PEACHTREE ST NE STE 100
ATLANTA, GA 30309
Fulton County (800) 759-7291

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 Jeffrey Culpepper's NPI number?

The NPI number for Jeffrey Culpepper is 1245222637. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Jeffrey Culpepper located?

Jeffrey Culpepper practices at 1372 Peachtree St NE Ste 100, Atlanta, GA 30309. The listed phone number is (470) 964-1700.

What is Jeffrey Culpepper's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Culpepper enrolled in Medicare?

Yes. Jeffrey Culpepper 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 Jeffrey Culpepper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Culpepper reassigns Medicare benefits to 6 organizations: Vpa PC (Atlanta, GA), Reagan Medical Center (Roswell, GA), Southeast Medical Group, P.C. (Alpharetta, GA), Archwell Health Professional Services Of Alabama, LLC (Midfield, AL), Adventhealth Senior Care Inc (Winter Park, FL) and 1 more organization, listed in the Medicare section above. 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 Jeffrey Culpepper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Culpepper 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 Jeffrey Culpepper 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 Jeffrey Culpepper affiliated with any hospitals?

According to CMS data, Jeffrey Culpepper is affiliated with Adventhealth Waterman and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Jeffrey Culpepper was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.