DR. OTIS SAMUEL POWELL JR. M.D.
NPI 1285654301
Family Medicine in Atlanta, GA

Q: What is Otis Powell's NPI number?

The NPI number for Otis Powell is 1285654301. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Otis S. Powell M.D..

Q: What is Otis Powell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Otis Powell was last updated on November 5, 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 July 20, 2006PECOS EnrolledAccepts Medicare Assignment

777 CLEVELAND AVE SW STE 500, ATLANTA, GA 30315(404) 755-2291(404) 755-5377 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, May 4, 2023 (2 updates tracked since 2023).

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About Dr. Otis Samuel Powell Jr. M.d. NPPES

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

DR. OTIS SAMUEL POWELL JR. M.D. (NPI 1285654301) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (025814) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Georgia School Of Medicine (1982).

NPPES Registry Identity

NPI1285654301

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. OTIS SAMUEL POWELL JR.Credential: M.D.

Location Address777 CLEVELAND AVE SW STE 500Atlanta, GA 30315-7115

Mailing Address777 Cleveland Ave Sw Ste 500Atlanta, GA 30315-7115 · (404) 755-2291 · Fax (404) 755-5377

Phone(404) 755-2291

Fax(404) 755-5377

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1982

Enumeration DateJuly 20, 2006

Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1285654301 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 · 025814

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.

777 CLEVELAND AVE SW STE 500, Atlanta, GA 30315

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Other Names 1

Other Name (5)Otis S. Powell M.d.

Secondary Practice Locations 2

Location 12391 Benjamin E Mays Dr SW, Second Floor, Suite AAtlanta, GA 30311-3233 · Phone (404) 755-2291 · Fax (404) 755-5377

Location 23200 Highway 42 Ste CStockbridge, GA 30281-4666 · Phone (770) 376-7927 · Fax (770) 727-2074

Other Identifiers 1

Medicaid00309845GGA

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Otis Samuel Powell 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 ID6103804554

PECOS Enrollment IDI20040713000109

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

Medicare enrollment records show Otis Powell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neesam Company Incorporated

Same address

Family Medicine

777 CLEVELAND AVE SW STE 500
Atlanta, GA 30315

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1376952069 (404) 755-2291

Lakewood Medical

1.1 mi

Family Medicine

2891 LAKEWOOD AVE SW
Atlanta, GA 30315

Reassigned Medicare billing, Georgia enrollment

NPI 1346701216 (678) 927-9996

The Clinic For All / La Clinica De Todos, LLC

1.9 mi

Primary Care

1795 WASHINGTON RD
East Point, GA 30344

Reassigned Medicare billing, Georgia enrollment
7 clinicians in this Medicare group

NPI 1053598284 (404) 559-5190

Family Wellness Center LLC

28 mi

Community/Behavioral Health

3883 ROGERS BRIDGE RD, STE 202A
Duluth, GA 30097

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1225489354 (770) 545-8359

Clinch County Hospital Authority

206 mi

Critical Access

1050 VALDOSTA HWY
Homerville, GA 31634

Reassigned Medicare billing, Georgia enrollment
96 clinicians in this Medicare group

NPI 1861478851 (912) 487-5211

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

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 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.

118 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30315 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.

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.

NEESAM COMPANY INCORPORATED

Family Medicine

777 CLEVELAND AVE SW STE 500
ATLANTA, GA 30315

Fulton County (404) 755-2291

UNITED HEALTHCARE SYSTEM OF GEORGIA INC.

Family Medicine

777 CLEVELAND AVE SW STE 500
ATLANTA, GA 30315

Fulton County (404) 755-2291

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 Otis Powell's NPI number?

The NPI number for Otis Powell is 1285654301. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Otis S. Powell M.D..

Where is Otis Powell located?

Otis Powell practices at 777 Cleveland Ave SW Ste 500, Atlanta, GA 30315. The listed phone number is (404) 755-2291.

What is Otis Powell's specialty?

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

Is Otis Powell enrolled in Medicare?

Yes. Otis Powell 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 Otis Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otis Powell reassigns Medicare benefits to 5 organizations: Neesam Company Incorporated (Atlanta, GA), Lakewood Medical (Atlanta, GA), The Clinic For All / La Clinica De Todos, LLC (East Point, GA), Family Wellness Center LLC (Duluth, GA) and Clinch County Hospital Authority (Homerville, GA). 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 Otis Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Otis Powell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Otis Powell 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.

When was this NPI record last updated?

The NPPES record for Otis Powell was last updated on November 5, 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.