ROY E SWINDLE JR. MD
NPI 1417033168
Obstetrics & Gynecology in Valdosta, GA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
220 NORTHSIDE DRIVE, VALDOSTA, GA 31602(229) 241-2800(229) 241-0454 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roy E Swindle Jr. Md NPPES

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

ROY E SWINDLE JR. MD (NPI 1417033168) is an individual obstetrics & gynecology provider in Valdosta, Georgia, licensed in Georgia (27925) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Emory University School Of Medicine (1984).

NPPES Registry Identity

NPI1417033168
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROY E SWINDLE JR.Credential: MD
Location Address220 NORTHSIDE DRIVEValdosta, GA 31602
Mailing Address220 Northside DriveValdosta, GA 31602 · (229) 241-2800 · Fax (229) 241-0454
Fax(229) 241-0454
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1984
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417033168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 27925
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
220 NORTHSIDE DRIVE, Valdosta, GA 31602

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP836GA
Medicare UPIND42220

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

Roy E Swindle 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 ID9436057593
PECOS Enrollment IDI20110420000458
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 18

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,080 services13 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
346 services173 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
346 services173 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.
168 services122 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
130 services130 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
99 services90 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%618 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%23 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%452 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%463 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%463 patients3/55-star benchmark: 59%
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 11

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

Advanced Practice Midwife
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Obstetrics & Gynecology
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Nurse Practitioner
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Advanced Practice Midwife
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Obstetrics & Gynecology
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Obstetrics & Gynecology
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Obstetrics & Gynecology
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602
Nurse Practitioner
220 NORTHSIDE DRIVE
VALDOSTA, GA 31602

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 Roy Swindle's NPI number?

The NPI number for Roy Swindle is 1417033168. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Roy Swindle located?

Roy Swindle practices at 220 Northside Drive, Valdosta, GA 31602. The listed phone number is (229) 241-2800.

What is Roy Swindle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Roy Swindle enrolled in Medicare?

Yes. Roy Swindle 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.

Is Roy Swindle affiliated with any hospitals?

According to CMS data, Roy Swindle is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Roy Swindle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.