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MR. JEFFERY K SEWELL MD
NPI 1598705071
Family Medicine in Carrollton, GA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
408 MAPLE ST, CARROLLTON, GA 30117(678) 796-0804(678) 796-0805 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jeffery K Sewell Md NPPES

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

MR. JEFFERY K SEWELL MD (NPI 1598705071) is an individual family medicine provider in Carrollton, Georgia, licensed in Georgia (042723) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Mercer University School Of Medicine (1995).

NPPES Registry Identity

NPI1598705071
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JEFFERY K SEWELLCredential: MD
Location Address408 MAPLE STCarrollton, GA 30117-3237
Mailing Address408 Maple StCarrollton, GA 30117-3237 · (678) 796-0804 · Fax (678) 796-0805
Phone(678) 796-0804
Fax(678) 796-0805
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1995
Enumeration DateJune 6, 2006
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1598705071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 042723
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 042723 (GA)
408 MAPLE ST, Carrollton, GA 30117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama.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

Mr. Jeffery K Sewell 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 ID9234149063
PECOS Enrollment IDI20060425000144
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

3

Medicare enrollment records show Jeffery Sewell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sewell Family Medicine And Urgent Care, P.C.
Same address
Family Medicine
408 MAPLE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
NPI 1841761533 (678) 796-0804
American Family Care, LLC
42 mi
Primary Care
30 HOLMES DR
Oxford, AL 36203
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1700326022 (256) 403-3534
App Of Alabama Ed PLLC
165 mi
Emergency Medicine
15155 HIGHWAY 43
Russellville, AL 35653
  • Reassigned Medicare billing, Alabama enrollment
  • 286 clinicians in this Medicare group
NPI 1659646040 (256) 332-1611

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 11

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 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.
241 services76 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
180 services13 patients
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.
122 services74 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
116 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
70 services22 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
64 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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.

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

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…
60%677 patients3/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 2

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

EMALEIGH STEWART APRN
Nurse Practitioner (Family)
408 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 796-0804
SEWELL FAMILY MEDICINE AND URGENT CARE, P.C.
Family Medicine
408 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 796-0804

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 Jeffery Sewell's NPI number?

The NPI number for Jeffery Sewell is 1598705071. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Jeffery Sewell located?

Jeffery Sewell practices at 408 Maple St, Carrollton, GA 30117. The listed phone number is (678) 796-0804.

What is Jeffery Sewell's specialty?

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

Is Jeffery Sewell enrolled in Medicare?

Yes. Jeffery Sewell 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 Jeffery Sewell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Sewell reassigns Medicare benefits to 3 organizations: Sewell Family Medicine And Urgent Care, P.C. (Carrollton, GA), American Family Care, LLC (Oxford, AL) and App Of Alabama Ed PLLC (Russellville, AL). 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 Jeffery Sewell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffery Sewell accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Alabama list Jeffery Sewell 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 Jeffery Sewell affiliated with any hospitals?

According to CMS data, Jeffery Sewell is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for Jeffery Sewell was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.