JAMES SIKORA M.D.
NPI 1679899884
Pathology - Clinical Pathology in Atlanta, GA
About James Sikora M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES SIKORA M.D. (NPI 1679899884) is an individual clinical pathology provider in Atlanta, Georgia, licensed in Georgia (83258) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and maintains a secondary practice location in Miami.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
James Sikora 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Sikora reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician 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.
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.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 James Sikora's NPI number?
The NPI number for James Sikora is 1679899884. It was assigned to this individual provider in the NPPES registry on April 13, 2010.
Where is James Sikora located?
James Sikora practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-1266.
What is James Sikora's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.
Is James Sikora enrolled in Medicare?
Yes. James Sikora 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 James Sikora's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Sikora reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 James Sikora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Sikora accept?
Health plans from Oscar Health list James Sikora 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 James Sikora affiliated with any hospitals?
According to CMS data, James Sikora is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for James Sikora was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# James Sikora, M.D. · NPI 1679899884
Clinical Pathology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 13, 2010.
## Identity
- **NPI:** 1679899884 (Entity type: Individual)
- **Enumerated:** April 13, 2010
- **Primary specialty:** Pathology - Clinical Pathology · taxonomy 207ZC0006X
- **State license:** 83258 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1364 CLIFTON RD NE, Atlanta, GA 30322
- **Phone:** (404) 712-1266
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1679899884) · Data from the CMS NPPES public registry.