DR. JOHN ANTHONY ARLEDGE M.D.
NPI 1639249675
Internal Medicine - Gastroenterology in Carrollton, GA

Q: What is John Arledge's NPI number?

The NPI number for John Arledge is 1639249675. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is John Arledge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Arledge was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment

89.3/100

CMS Quality Rating

157 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117(770) 214-2800(770) 214-2803 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Aug 9, 2024 (2 updates tracked since 2024).

On this page

About Dr. John Anthony Arledge M.d. NPPES

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

DR. JOHN ANTHONY ARLEDGE M.D. (NPI 1639249675) is an individual gastroenterology provider in Carrollton, Georgia, licensed in Georgia (60430) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639249675

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JOHN ANTHONY ARLEDGECredential: M.D.

Location Address157 CLINIC AVE, SUITE 201Carrollton, GA 30117-4454

Mailing Address157 Clinic Ave, Suite 201Carrollton, GA 30117-4454 · (770) 214-2800 · Fax (770) 214-2803

Phone(770) 214-2800

Fax(770) 214-2803

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 8, 2006

Last NPPES UpdateJune 10, 20252 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1639249675 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 · 60430

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.

157 CLINIC AVE, Carrollton, GA 30117

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Secondary Practice Locations 4

Location 1690 Dallas Hwy Ste 103Villa Rica, GA 30180-1265 · Phone (770) 214-2800 · Fax (770) 214-2803

Location 21030 Main St S Ste 201Wedowee, AL 36278-7440 · Phone (770) 214-2800 · Fax (770) 214-2803

Location 3204 Allen Memorial Dr Ste 302BBremen, GA 30110-2047 · Phone (770) 214-2800 · Fax (770) 214-2803

Location 4160 Clinic AveCarrollton, GA 30117-4451 · Phone (770) 214-2800 · Fax (770) 214-2803

Other Identifiers 1

Medicaid403139614AGA

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, Oscar Insurance Company.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. John Anthony Arledge 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 ID3375619695

PECOS Enrollment IDI20080910000071

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 18

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.

168 services114 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

136 services134 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.

97 services95 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

78 services67 patients

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.

76 services69 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

71 services70 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

45 services45 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.

40 services40 patients

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.

35 services35 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

33 services32 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.

25 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

20 services20 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

18 services18 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

16 services16 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

15 services15 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

15 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Higgins General Hospital

Critical Access Hospitals · Bremen, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111320

Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County

Emergency services

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

$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.

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.

89.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.39

Promoting Interoperability

100

Improvement Activities

Cost

68.39

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.

DAVID ERIC SCHOENFELD M.D.

Dermatology

157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117

Carroll County (770) 838-9333

THOMAS E REEVE III M.D.

Surgery

157 CLINIC AVE, SUITE 302
CARROLLTON, GA 30117

Carroll County (770) 834-3336

DR. RHONDA B ROGERS MD

Dermatology

157 CLINIC AVE, STE 301
CARROLLTON, GA 30117

Carroll County (770) 838-9333

RHONDA B ROGERS MD PC

Dermatology

157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117

Carroll County (770) 838-9333

RAUL G. ZUNZUNEGUI M.D.

Surgery

157 CLINIC AVE, SUITE 302
CARROLLTON, GA 30117

Carroll County (770) 834-3336

JOHN MATTHEW TOLBERT PA-C

Physician Assistant

157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117

Carroll County (770) 838-9333

JIM MARTIN CPT,FNP-C,MSN,AEMT

Nurse Practitioner

157 CLINIC AVE, SUITE 201
CARROLLTON, GA 30117

Carroll County (770) 214-2800

HOWARD SEEMAN M.D.

Internal Medicine (Gastroenterology)

157 CLINIC AVE, SUITE 201
CARROLLTON, GA 30117

Carroll County (770) 214-2800

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 John Arledge's NPI number?

The NPI number for John Arledge is 1639249675. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is John Arledge located?

John Arledge practices at 157 Clinic Ave Suite 201, Carrollton, GA 30117. The listed phone number is (770) 214-2800.

What is John Arledge's specialty?

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

Is John Arledge enrolled in Medicare?

Yes. John Arledge 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 John Arledge accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list John Arledge 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 John Arledge affiliated with any hospitals?

According to CMS data, John Arledge is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for John Arledge was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.