1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

DOUGLAS C. WOLF MD
NPI 1588649693
Internal Medicine - Gastroenterology in Atlanta, GA

Active since December 12, 2005PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
5671 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342(404) 257-9000(404) 847-9792 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Douglas C. Wolf Md NPPES

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

DOUGLAS C. WOLF MD (NPI 1588649693) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (27135) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of West Virginia University School Of Medicine (1979).

NPPES Registry Identity

NPI1588649693
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDOUGLAS C. WOLFCredential: MD
Location Address5671 PEACHTREE DUNWOODY RD NE, SUITE 600Atlanta, GA 30342-5000
Mailing Address5671 Peachtree Dunwoody Rd Ste 600Atlanta, GA 30342-5020 · (404) 257-9000 · Fax (404) 847-9792
Phone(404) 257-9000
Fax(404) 847-9792
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1979
Enumeration DateDecember 12, 2005
Last NPPES UpdateFebruary 5, 2018
✔ NPI 1588649693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 27135
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5671 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 1

Medicaid00309823CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Douglas C. Wolf 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.

PECOS PAC ID3577608827
PECOS Enrollment IDI20101221000005
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
136 services76 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.
29 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
28 services26 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.
28 services27 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 Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
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 30342 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
$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.

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.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

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.

GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC
Surgery (Vascular Surgery)
5671 PEACHTREE DUNWOODY RD NE, SUITE 250
ATLANTA, GA 30342
Fulton County (404) 256-0170
DR. PAUL R. JEFFORDS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 847-9999
DR. STEVEN B. WERTHEIM M.D.
Orthopaedic Surgery
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 847-9999
DR. ROBERT MICHAEL EISENBAND MD
Internal Medicine (Gastroenterology)
5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 257-9000
DR. HETAL KARSAN MD
Internal Medicine (Gastroenterology)
5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 257-9000
JENNIFER J. BRIDGES AT-C
Specialist/Technologist (Athletic Trainer)
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 531-8590
AHI ATLANTA, LLC
Dietitian, Registered
5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 257-9000
BILLY GENE MIMS-GOODMAN CRNA
Nurse Anesthetist, Certified Registered
5671 PEACHTREE DUNWOODY RD NE, SUITE 680
ATLANTA, GA 30342
Fulton County (404) 705-6985

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 Douglas Wolf's NPI number?

The NPI number for Douglas Wolf is 1588649693. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Douglas Wolf located?

Douglas Wolf practices at 5671 Peachtree Dunwoody Rd NE Suite 600, Atlanta, GA 30342. The listed phone number is (404) 257-9000.

What is Douglas Wolf's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Douglas Wolf enrolled in Medicare?

Yes. Douglas Wolf 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 Douglas Wolf 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 Douglas Wolf 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 Douglas Wolf affiliated with any hospitals?

According to CMS data, Douglas Wolf is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Wolf was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.