EDWIN ENRIQUE VILLARREAL MD
NPI 1447418397
Hospitalist in Demorest, GA
About Edwin Enrique Villarreal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWIN ENRIQUE VILLARREAL MD (NPI 1447418397) is an individual hospitalist provider in Demorest, Georgia, licensed in Tennessee (63221) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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
Edwin Enrique Villarreal 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.
Medicare Billing Reassignments
11Medicare enrollment records show Edwin Villarreal reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Alabama enrollment
- 428 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Tennessee enrollment
- 1,085 clinicians in this Medicare group
Phenix City, AL 36867
- Reassigned Medicare billing, Alabama enrollment
- 168 clinicians in this Medicare group
Shelbyville, TN 37160
- Reassigned Medicare billing, Tennessee enrollment
- 498 clinicians in this Medicare group
Birmingham, AL 35243
- Reassigned Medicare billing, Alabama enrollment
- 215 clinicians in this Medicare group
Troy, AL 36081
- Reassigned Medicare billing, Alabama enrollment
- 8 clinicians in this Medicare group
Troy, AL 36079
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Tuscaloosa, AL 35406
- Reassigned Medicare billing, Alabama enrollment
- 307 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- 244 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edwin Villarreal's NPI number?
The NPI number for Edwin Villarreal is 1447418397. It was assigned to this individual provider in the NPPES registry on May 28, 2008. The provider is also known as Edwin Villarreal Mazzilli MD.
Where is Edwin Villarreal located?
Edwin Villarreal practices at 541 Historic Hwy 441-N, Demorest, GA 30535. The listed phone number is (770) 219-7078.
What is Edwin Villarreal's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Edwin Villarreal enrolled in Medicare?
Yes. Edwin Villarreal 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 Edwin Villarreal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Villarreal reassigns Medicare benefits to 11 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Southeastern Physician Services PC (Oak Ridge, TN), Nes Tennessee Inc (Phenix City, AL), App Of Tennessee Hm, PLLC (Shelbyville, TN) and 6 more organizations, listed in the Medicare section above. 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 Edwin Villarreal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edwin Villarreal accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Edwin Villarreal 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.
When was this NPI record last updated?
The NPPES record for Edwin Villarreal was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Edwin Enrique Villarreal, MD · NPI 1447418397
Hospitalist physician in Demorest, Georgia. Individual provider, active in the CMS NPPES registry since May 28, 2008.
## Identity
- **NPI:** 1447418397 (Entity type: Individual)
- **Enumerated:** May 28, 2008
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 63221 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 541 HISTORIC HWY 441-N, Demorest, GA 30535-4528
- **Phone:** (770) 219-7078 · **Fax:** (770) 219-7365
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); Nes Tennessee Inc (NPI 1629609631, Phenix City, AL); App Of Tennessee Hm, PLLC (NPI 1396160768, Shelbyville, TN); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447418397) · Data from the CMS NPPES public registry.