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DR. JOSE ANTONIO GARCIA M.D.
NPI 1427036219
Obstetrics & Gynecology in Alpharetta, GA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
11975 MORRIS RD, SUITE 300, ALPHARETTA, GA 30005(770) 521-2295(770) 521-9672 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jose Antonio Garcia M.d. NPPES

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

DR. JOSE ANTONIO GARCIA M.D. (NPI 1427036219) is an individual obstetrics & gynecology provider in Alpharetta, Georgia, licensed in Georgia (02227) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Duke University School Of Medicine (1977).

NPPES Registry Identity

NPI1427036219
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOSE ANTONIO GARCIACredential: M.D.
Location Address11975 MORRIS RD, SUITE 300Alpharetta, GA 30005-4419
Mailing Address5780 Peachtree Dunwoody Road, Suite 300Atlanta, GA 30342-1513 · (404) 303-1224 · Fax (404) 303-1325
Phone(770) 521-2295
Fax(770) 521-9672
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1977
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMay 10, 2016
✔ NPI 1427036219 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 · 02227
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.

11975 MORRIS RD, Alpharetta, GA 30005
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Other Names 1

Other Name (5)Dr. Jose Antonio Garcia-saul M.d.

Other Identifiers 4

Medicaid000254328GGA
Medicare UPINE54620GA
Medicaid000254328DGA
Medicaid000254328EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Jose Antonio Garcia 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 ID6507032208
PECOS Enrollment IDI20111230000211
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
39 services39 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.
30 services30 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.
29 services29 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services16 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.
19 services18 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

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 30005 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
$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.

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.

LAUREN ELIZABETH BRASWELL RN, CNM
Advanced Practice Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Fulton County (770) 751-3600
ROSWELL OB GYN 2 LLC
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Fulton County (404) 943-0205
DR. MICHAEL RALPH WOLFSON M.D.
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 310
ALPHARETTA, GA 30005
Fulton County (770) 752-0824
DR. SHAPOUR MOBASSER M.D.
Specialist
11975 MORRIS RD, SUITE 300
ALPHARETTA, GA 30005
Fulton County (770) 521-2295
DR. MICHELLE SHELNUTT DODDER M.D.
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 310
ALPHARETTA, GA 30005
Fulton County (770) 752-0824
TOYA G CLAXTON CSA
Specialist/Technologist, Other (Surgical Assistant)
11975 MORRIS RD
ALPHARETTA, GA 30005
Fulton County (770) 360-9916
DR. RICHARD BRIAN ROBBINS M.D.
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Fulton County (770) 751-3600
DR. STEPHEN ALAN ROSENBERG M.D.
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 310
ALPHARETTA, GA 30005
Fulton County (770) 752-0824

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 Jose Garcia's NPI number?

The NPI number for Jose Garcia is 1427036219. It was assigned to this individual provider in the NPPES registry on January 3, 2006. The provider is also known as Dr. Jose Antonio Garcia-Saul M.D..

Where is Jose Garcia located?

Jose Garcia practices at 11975 Morris Rd Suite 300, Alpharetta, GA 30005. The listed phone number is (770) 521-2295.

What is Jose Garcia's specialty?

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

Is Jose Garcia enrolled in Medicare?

Yes. Jose Garcia 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 Jose Garcia accept?

Health plans from Oscar Insurance Company list Jose Garcia 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 Jose Garcia affiliated with any hospitals?

According to CMS data, Jose Garcia is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jose Garcia was last updated on May 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.