MR. TADEUSZ K WODECKI MD
NPI 1619994472
Internal Medicine in Stone Mountain, GA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
2256 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087(770) 413-1300(770) 413-0547 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Tadeusz K Wodecki Md NPPES

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

MR. TADEUSZ K WODECKI MD (NPI 1619994472) is an individual internal medicine provider in Stone Mountain, Georgia, licensed in Georgia (029264) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1619994472
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. TADEUSZ K WODECKICredential: MD
Location Address2256 ROCKBRIDGE RDStone Mountain, GA 30087
Mailing Address2256 Rockbridge RdStone Mountain, GA 30087 · (770) 413-1300 · Fax (770) 413-0547
Fax(770) 413-0547
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 17, 2012
NPI 1619994472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 029264
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 200301312 (NC)
2256 ROCKBRIDGE RD, Stone Mountain, GA 30087

Other Identifiers 4

Other1619994472GA · Npi
Medicaid00543397AGA
Medicare ID-Type Unspecified01BDFCQGA
Medicare UPIND31417GA

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

Mr. Tadeusz K Wodecki 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 ID3779740014
PECOS Enrollment IDI20120130000287
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services30 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.
27 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 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.

Other Providers at the Same Location NPPES

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

Internal Medicine
2256 ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087

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 Tadeusz Wodecki's NPI number?

The NPI number for Tadeusz Wodecki is 1619994472. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Tadeusz Wodecki located?

Tadeusz Wodecki practices at 2256 Rockbridge Rd, Stone Mountain, GA 30087. The listed phone number is (770) 413-1300.

What is Tadeusz Wodecki's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tadeusz Wodecki enrolled in Medicare?

Yes. Tadeusz Wodecki 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 Tadeusz Wodecki accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tadeusz Wodecki 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 Tadeusz Wodecki was last updated on January 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.