DEREJE SEYOUM LEGESSE MD
NPI 1245852284
Internal Medicine in Newnan, GA

Q: What is Dereje Legesse's NPI number?

The NPI number for Dereje Legesse is 1245852284. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Q: What is Dereje Legesse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dereje Legesse was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment

745 POPLAR RD, NEWNAN, GA 30265(770) 400-2353 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Jun 30, 2021, May 13, 2020 (3 updates tracked since 2020).

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About Dereje Seyoum Legesse Md NPPES

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

DEREJE SEYOUM LEGESSE MD (NPI 1245852284) is an individual internal medicine provider in Newnan, Georgia, licensed in Georgia (99350) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1245852284

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDEREJE SEYOUM LEGESSECredential: MD

Location Address745 POPLAR RDNewnan, GA 30265-1618

Mailing Address3041 Cedar Creek PkwyDecatur, GA 30033-4415

Phone(770) 400-2353

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 13, 2020

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1245852284 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 · 99350

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 99350 (GA)

745 POPLAR RD, Newnan, GA 30265

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Secondary Practice Location 1

Location 1303 Parkway Dr NEAtlanta, GA 30312-1212 · Phone (770) 265-4919

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

Dereje Seyoum Legesse 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 ID6507268638

PECOS Enrollment IDI20240806001577

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 4

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.

119 services58 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.

44 services44 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.

22 services16 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110215

Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County

Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110229

Location745 Poplar RoadNewnan, GA 30265 · Coweta County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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 20

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

MARCUS STEPHEN WILBANKS

Registered Nurse