SEAN MICHAEL LOWE
NPI 1679716559
Emergency Medicine in Atlanta, GA

Active since April 08, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
531 ASBURY CIR, SUITE N340, ATLANTA, GA 30322(757) 641-1190 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Michael Lowe NPPES

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

SEAN MICHAEL LOWE (NPI 1679716559) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (067677) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Eastern Virginia Medical School (2009).

NPPES Registry Identity

NPI1679716559
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN MICHAEL LOWE
Location Address531 ASBURY CIR, SUITE N340Atlanta, GA 30322-1006
Mailing Address1074 Peachtree Walk Ne, Apt. B218Atlanta, GA 30309-8500 · (757) 641-1190
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2009
Enumeration DateApril 8, 2009
Last NPPES UpdateJune 28, 2012
✔ NPI 1679716559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 067677
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
531 ASBURY CIR, Atlanta, GA 30322

Accepted 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

Sean Michael Lowe 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 ID6406003292
PECOS Enrollment IDI20120830000089, I20250317002400, I20250616001682
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

22

Medicare enrollment records show Sean Lowe reassigns Medicare billing to 22 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Emergency Medicine
1000 JOHNSON FERRY RD
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
Hospitalist
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 160 clinicians in this Medicare group
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 777 clinicians in this Medicare group
Emergency Medicine
2360 ROCKMART HWY
Cedartown, GA 30125
  • Reassigned Medicare billing, Georgia enrollment
  • 102 clinicians in this Medicare group
Emergency Medicine
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 80 clinicians in this Medicare group
Emergency Medicine
707 OLD DALTON ELLIJAY RD
Chatsworth, GA 30705
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
471 services452 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
200 services197 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
155 services151 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
82 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Emergency Medicine
531 ASBURY CIR, SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, ANNEX, SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, HOSPITAL ANNEX-SUITE N340
ATLANTA, GA 30322
Emergency Medicine
531 ASBURY CIR, SUITE N340
ATLANTA, GA 30322

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 Sean Lowe's NPI number?

The NPI number for Sean Lowe is 1679716559. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Sean Lowe located?

Sean Lowe practices at 531 Asbury Cir Suite N340, Atlanta, GA 30322. The listed phone number is (757) 641-1190.

What is Sean Lowe's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Lowe enrolled in Medicare?

Yes. Sean Lowe 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 Sean Lowe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Lowe reassigns Medicare benefits to 22 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA), Northside Emergency Associates, LLC (Sandy Springs, GA), Georgia Hospitalists Group, LLC (Riverdale, GA), The Bortolazzo Group, LLC (Austell, GA) and 17 more organizations, listed in the Medicare section above. 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 Sean Lowe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Lowe accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Sean Lowe 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 Sean Lowe affiliated with any hospitals?

According to CMS data, Sean Lowe is affiliated with Adventhealth Gordon, Adventhealth Murray and Houston Healthcare.

When was this NPI record last updated?

The NPPES record for Sean Lowe was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.