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JOHN MOULTRIE
NPI 1417393893
Family Medicine in Sandy Springs, GA

Active since May 13, 2013PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
6115 PEACHTREE DUNWOODY ROAD, SUITE 350, SANDY SPRINGS, GA 30328(678) 320-3630(404) 256-0121 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About John Moultrie NPPES

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

JOHN MOULTRIE (NPI 1417393893) is an individual family medicine provider in Sandy Springs, Georgia, licensed in Georgia (075999) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of South Alabama College Of Medicine (2013).

NPPES Registry Identity

NPI1417393893
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN MOULTRIE
Location Address6115 PEACHTREE DUNWOODY ROAD, SUITE 350Sandy Springs, GA 30328
Mailing Address6115 Peachtree Dunwoody Road, Suite 350Atlanta, GA 30328 · (678) 320-3630 · Fax (404) 256-0121
Phone(678) 320-3630
Fax(404) 256-0121
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2013
Enumeration DateMay 13, 2013
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1417393893 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 · 075999
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.
6115 PEACHTREE DUNWOODY ROAD, Sandy Springs, GA 30328
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

John Moultrie 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 ID6608017306
PECOS Enrollment IDI20160912001514
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

2

Medicare enrollment records show John Moultrie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Moultrie Medical PC
5.7 mi
Primary Care
2970 CLAIRMONT RD NE STE 210
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Moultrie Medical P.C.
NPI 1215618640 (256) 302-3505
Piedmont Medical Care Corporation
11 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840

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 2

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.
49 services40 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.
41 services30 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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…
9%117 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%72 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%123 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
84%137 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
59%113 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
60%45 patients3/55-star benchmark: 98%
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 3

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

STEVEN R SIGMAN MD
Internal Medicine (Cardiovascular Disease)
6115 PEACHTREE DUNWOODY ROAD, SUITE 300
ATLANTA, GA 30328
Fulton County (404) 851-5400
STUART JAY TOPOROFF MD
Internal Medicine (Cardiovascular Disease)
6115 PEACHTREE DUNWOODY ROAD, SUITE 300
SANDY SPRINGS, GA 30328
Fulton County (678) 320-3600
JYOTI SHARMA MD
Internal Medicine (Cardiovascular Disease)
6115 PEACHTREE DUNWOODY ROAD, SUITE 300
SANDY SPRINGS, GA 30328
Fulton County (678) 320-3600

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 John Moultrie's NPI number?

The NPI number for John Moultrie is 1417393893. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is John Moultrie located?

John Moultrie practices at 6115 Peachtree Dunwoody Road Suite 350, Sandy Springs, GA 30328. The listed phone number is (678) 320-3630.

What is John Moultrie's specialty?

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

Is John Moultrie enrolled in Medicare?

Yes. John Moultrie 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 John Moultrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Moultrie reassigns Medicare benefits to 2 organizations: Moultrie Medical PC (Brookhaven, GA) and Piedmont Medical Care Corporation (Atlanta, 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 John Moultrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Moultrie accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list John Moultrie 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 John Moultrie affiliated with any hospitals?

According to CMS data, John Moultrie is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for John Moultrie was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.