DR. JESSE KENWOOD GIFFHORN M.D.
NPI 1497014922
Pediatrics in Athens, GA

Active since May 03, 2012PECOS Enrolled
1199 PRINCE AVE, ATHENS, GA 30606(706) 475-3665 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2023, Oct 9, 2020 (2 updates tracked since 2020).

About Dr. Jesse Kenwood Giffhorn M.d. NPPES

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

DR. JESSE KENWOOD GIFFHORN M.D. (NPI 1497014922) is an individual pediatrics provider in Athens, Georgia, licensed in Georgia (94737) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497014922
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JESSE KENWOOD GIFFHORNCredential: M.D.
Location Address1199 PRINCE AVEAthens, GA 30606-2797
Mailing Address4881 Sugar Maple DrDayton, OH 45433-5529 · (937) 257-6991
Sole ProprietorNo
Enumeration DateMay 3, 2012
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1497014922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 94737✔ Licensed in OH · 35.140501
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 35.140501 (OH)
1199 PRINCE AVE, Athens, GA 30606

Secondary Practice Locations 2

Location 1272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7500
Location 24881 Sugar Maple DrDayton, OH 45433-5529 · Phone (937) 257-6991

Other Identifiers 1

Medicaid0419629OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Kenwood Giffhorn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jesse Giffhorn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
General Acute Care Hospital
850 GOVERNOR CARLOS CAMACHO ROAD
Oka Tamuning, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 320 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Neurological Surgery
1199 PRINCE AVE
ATHENS, GA 30606
Hospitalist
1199 PRINCE AVE
ATHENS, GA 30606
Nurse Anesthetist, Certified Registered
1199 PRINCE AVE
ATHENS, GA 30606
Physician Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiology
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiologist Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Specialist/Technologist, Other (Surgical Assistant)
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine (Cardiovascular Disease)
1199 PRINCE AVE
ATHENS, GA 30606

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 Jesse Giffhorn's NPI number?

The NPI number for Jesse Giffhorn is 1497014922. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Jesse Giffhorn located?

Jesse Giffhorn practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (706) 475-3665.

What is Jesse Giffhorn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jesse Giffhorn enrolled in Medicare?

Yes. Jesse Giffhorn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Giffhorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Giffhorn reassigns Medicare benefits to 2 organizations: Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA) and Guam Memorial Hospital (Oka Tamuning, GU). 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 Jesse Giffhorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Giffhorn 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 Jesse Giffhorn 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 Jesse Giffhorn was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.