JOSEPH T OVERTON JR. MD
NPI 1346359296
Dermatology in Covington, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4155 BAKER ST NE, SUITE 100, COVINGTON, GA 30014(770) 788-0620(678) 342-3327 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph T Overton Jr. Md NPPES

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

JOSEPH T OVERTON JR. MD (NPI 1346359296) is an individual dermatology provider in Covington, Georgia, licensed in Georgia (038900) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Emory University School Of Medicine (1998).

NPPES Registry Identity

NPI1346359296
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOSEPH T OVERTON JR.Credential: MD
Location Address4155 BAKER ST NE, SUITE 100Covington, GA 30014-1405
Mailing AddressPo Box 945934Atlanta, GA 30394-5934 · (770) 788-0620 · Fax (678) 342-3327
Fax(678) 342-3327
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 30, 2010
NPI 1346359296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 038900
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4155 BAKER ST NE, Covington, GA 30014

Other Identifiers 11

Other0300335GA · Evercare Provider #
Other1024502GA · Aetna Hmo Provider #
Medicaid00762308DGA
Medicare UPING38751GA
Medicare PIN070015730GA
Other953055GA · Bc/bs Provider #
Medicare PIN11BDTKMGA
Other4697GA · Kaiser
Other5261485GA · Aetna Ppo Provider #
Other77159135GA · Wausau Provider #
OtherGA0100GA · John Deer Nonpar Prov #

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

Joseph T Overton Jr. 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 ID1355389552
PECOS Enrollment IDI20120207000763
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 39

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
3,667 services722 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,630 services1,125 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,188 services847 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
1,005 services789 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
586 services338 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
458 services393 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%1,216 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Dietitian, Registered
4155 BAKER ST NE, SUITE 100
COVINGTON, GA 30014
Dermatology
4155 BAKER ST NE, SUITE 100
COVINGTON, GA 30014
Pediatrics
4155 BAKER ST NE
COVINGTON, GA 30014
Pediatrics (Developmental - Behavioral Pediatrics)
4155 BAKER ST NE, SUITE 300
COVINGTON, GA 30014
Dermatology
4155 BAKER ST NE, SUITE 100
COVINGTON, GA 30014

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 Joseph Overton's NPI number?

The NPI number for Joseph Overton is 1346359296. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Joseph Overton located?

Joseph Overton practices at 4155 Baker St NE Suite 100, Covington, GA 30014. The listed phone number is (770) 788-0620.

What is Joseph Overton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joseph Overton enrolled in Medicare?

Yes. Joseph Overton 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 Joseph Overton accept?

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

According to CMS data, Joseph Overton is affiliated with Piedmont Newton Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Overton was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.