Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HIWOT SAMUEL LEGESSE
NPI 1366145427
Internal Medicine in Marietta, GA

Active since March 27, 2023PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(470) 956-2020 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hiwot Samuel Legesse NPPES

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

HIWOT SAMUEL LEGESSE (NPI 1366145427) is an individual internal medicine provider in Marietta, Georgia, licensed in Georgia (111551) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366145427
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHIWOT SAMUEL LEGESSE
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (470) 956-2020
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1366145427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 111551
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.

677 CHURCH ST NE, Marietta, GA 30060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hiwot Samuel Legesse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30060 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.

Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Cytopathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Pharmacist
677 CHURCH ST NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366145427, enumerated as an "individual" on March 27, 2023.

The provider is located at 677 CHURCH ST NE MARIETTA, GA 30060 and the phone number is (470) 956-2020.

Internal Medicine with taxonomy code 207R00000X.