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JAMES TODD SPRADLIN M.D.
NPI 1285663526
Hospitalist in Atlanta, GA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342(404) 851-8000(404) 851-6325 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Todd Spradlin M.d. NPPES

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

JAMES TODD SPRADLIN M.D. (NPI 1285663526) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (042123) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Emory University School Of Medicine (1995).

NPPES Registry Identity

NPI1285663526
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAMES TODD SPRADLINCredential: M.D.
Location Address1000 JOHNSON FERRY RD NEAtlanta, GA 30342-1606
Mailing Address1000 Johnson Ferry Rd NeAtlanta, GA 30342-1606 · (404) 851-8000 · Fax (404) 851-6325
Phone(404) 851-8000
Fax(404) 851-6325
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1995
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1285663526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 042123
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 51677 (CO), 042123 (GA)
1000 JOHNSON FERRY RD NE, Atlanta, GA 30342
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Other Identifiers 3

Medicare UPING66944GA
Medicaid000779556CGA
Medicare PIN11SCHPNGA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Todd Spradlin 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 ID6608967955
PECOS Enrollment IDI20070801000411
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.
50 services19 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.
22 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 4

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims5,691 services$0.25 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers17 claims17 services$28.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$13.90 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 suppliers26 claims26 services$60.99 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 20

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

HANNAH L STEELE CRNA
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
VALERIE S WEBB NP
Nurse Practitioner (Women's Health)
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
AMAR R HERNDON
Anesthesiologist Assistant
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
MISHANA L. MOGELNICKI PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
SUSAN C. OSGOOD CRNA
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (770) 645-9181
MRS. KIMBERLY CHILDRES WILLIAMS RPH
Pharmacist
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 851-8123
MS. PATRICIA BOATRIGHT GILLEY RPH
Pharmacist
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
Fulton County (404) 851-8908
AMY J FIGUEROA MD
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 851-8000

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 James Spradlin's NPI number?

The NPI number for James Spradlin is 1285663526. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is James Spradlin located?

James Spradlin practices at 1000 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is James Spradlin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Spradlin enrolled in Medicare?

Yes. James Spradlin 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 James Spradlin accept?

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

According to CMS data, James Spradlin is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for James Spradlin was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.