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DR. EDWARD FRASER SPILKER M.D.
NPI 1447280045
Family Medicine in Kennesaw, GA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
1690 STONE VILLAGE LANE NW, SUITE 921, KENNESAW, GA 30152(770) 590-1440(770) 792-9231 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Fraser Spilker M.d. NPPES

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

DR. EDWARD FRASER SPILKER M.D. (NPI 1447280045) is an individual family medicine provider in Kennesaw, Georgia, licensed in Georgia (031133) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Hahnemann University College Of Medicine (1984).

NPPES Registry Identity

NPI1447280045
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD FRASER SPILKERCredential: M.D.
Location Address1690 STONE VILLAGE LANE NW, SUITE 921Kennesaw, GA 30152-7714
Mailing Address1690 Stone Village Lane Nw, Suite 921Kennesaw, GA 30152-7714 · (770) 590-1440 · Fax (770) 792-9231
Phone(770) 590-1440
Fax(770) 792-9231
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1984
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 5, 2012
✔ NPI 1447280045 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 · 031133
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.
1690 STONE VILLAGE LANE NW, Kennesaw, GA 30152
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Other Identifiers 3

Medicare UPINC89514GA
Medicare ID-Type Unspecified08BBSQJGA · Medicare #
Other202I081393GA · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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. Edward Fraser Spilker 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 ID2567517154
PECOS Enrollment IDI20090903000235
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
239 services139 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.
167 services117 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.
149 services103 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.
88 services61 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
37 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30152 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.

Other Providers at the Same Location NPPES

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

SPILKER MEDICAL, LLC
Clinic/Center (Health Service)
1690 STONE VILLAGE LANE NW, SUITE 921
KENNESAW, GA 30152
Cobb County (770) 590-1440

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 Edward Spilker's NPI number?

The NPI number for Edward Spilker is 1447280045. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Edward Spilker located?

Edward Spilker practices at 1690 Stone Village Lane NW Suite 921, Kennesaw, GA 30152. The listed phone number is (770) 590-1440.

What is Edward Spilker's specialty?

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

Is Edward Spilker enrolled in Medicare?

Yes. Edward Spilker 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 Edward Spilker accept?

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

According to CMS data, Edward Spilker is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Spilker was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.