JUSTIN LEE LOY
NPI 1619317682
Internal Medicine - Nephrology in Thomasville, GA

Q: What is Justin Lee Loy's NPI number?

The NPI number for Justin Lee Loy is 1619317682. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Q: What is Justin Lee Loy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Justin Lee Loy was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment

334 SMITH AVE, THOMASVILLE, GA 31792(229) 227-1595 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2019, Aug 12, 2019 (2 updates tracked since 2019).

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About Justin Lee Loy NPPES

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

JUSTIN LEE LOY (NPI 1619317682) is an individual nephrology provider in Thomasville, Georgia, licensed in Georgia (81773) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619317682

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJUSTIN LEE LOY

Location Address334 SMITH AVEThomasville, GA 31792-5533

Mailing Address334 Smith AveThomasville, GA 31792-5533 · (229) 227-1595 · Fax (229) 227-1385

Phone(229) 227-1595

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 5, 2013

Last NPPES UpdateSeptember 10, 20192 updates tracked since enumeration

✔ NPI 1619317682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 81773

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

334 SMITH AVE, Thomasville, GA 31792

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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

Justin Lee Loy 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 ID9436422250

PECOS Enrollment IDI20190911001306

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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

416 services148 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.

215 services103 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

194 services82 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.

160 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

110 services101 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

68 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Archbold Memorial

Acute Care Hospitals · Thomasville, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110038

Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County

Emergency services Birthing friendly

Colquitt Regional Medical Center

Acute Care Hospitals · Moultrie, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110105

Location3131 South Main StreetMoultrie, GA 31768 · Colquitt County

Emergency services Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110132

Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County

Emergency services Birthing friendly

Archbold Mitchell

Critical Access Hospitals · Camilla, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111331

Location90 E Stephens StreetCamilla, GA 31730 · Mitchell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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.

MR. WILLIAM B HOOKS PA-C

Physician Assistant (Medical)