DR. PAUL W JOYNER M.D.
NPI 1497945968
Colon & Rectal Surgery in Stockbridge, GA

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1240 EAGLES LANDING PKWY, SUITE 260, STOCKBRIDGE, GA 30281(404) 351-7900(404) 351-7901 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul W Joyner M.d. NPPES

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

DR. PAUL W JOYNER M.D. (NPI 1497945968) is an individual colon & rectal surgery provider in Stockbridge, Georgia, licensed in Georgia (074740) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497945968
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. PAUL W JOYNERCredential: M.D.
Location Address1240 EAGLES LANDING PKWY, SUITE 260Stockbridge, GA 30281
Mailing Address35 Collier Rd Nw, Suite 475Atlanta, GA 30309-1605 · (404) 351-7900 · Fax (404) 351-7901
Fax(404) 351-7901
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 30, 2007
Last NPPES UpdateSeptember 11, 2015
NPI 1497945968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses Licensed in GA · 074740 Licensed in CT · 51826
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1240 EAGLES LANDING PKWY, Stockbridge, GA 30281

Other Identifiers 2

Medicare OSCAR/certification1497945968CT
Medicaid004095148CT

Accepted 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. Paul W Joyner 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 ID6406097849
PECOS Enrollment IDI20151005002986
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 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.
20 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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…
5%106 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
22%64 patients1/55-star benchmark: 100%
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%29 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
11%108 patients1/55-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…
46%131 patients2/55-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
23%60 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
3 suppliers11 claims1,340 services$1.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Orthopaedic Surgery
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281
Physician Assistant
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281
Occupational Therapist (Hand)
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281
Physical Medicine & Rehabilitation (Pain Medicine)
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281
Physical Therapist
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281
Specialist/Technologist
1240 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Orthopaedic Surgery
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281
Physical Therapist
1240 EAGLES LANDING PKWY, SUITE 300
STOCKBRIDGE, GA 30281

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 Paul Joyner's NPI number?

The NPI number for Paul Joyner is 1497945968. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Paul Joyner located?

Paul Joyner practices at 1240 Eagles Landing Pkwy Suite 260, Stockbridge, GA 30281. The listed phone number is (404) 351-7900.

What is Paul Joyner's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Paul Joyner enrolled in Medicare?

Yes. Paul Joyner 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 Paul Joyner 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 Paul Joyner 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 Paul Joyner affiliated with any hospitals?

According to CMS data, Paul Joyner is affiliated with Piedmont Hospital and Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Paul Joyner was last updated on September 11, 2015. 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.