1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Surgery
  6. NPI Profile

DR. GARY WILLIAM SWAIN JR. M.D.
NPI 1699933663
Surgery in Atlanta, GA

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FY RD NE STE 880, ATLANTA, GA 30342(404) 255-8304(404) 256-4578 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gary William Swain Jr. M.d. NPPES

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

DR. GARY WILLIAM SWAIN JR. M.D. (NPI 1699933663) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (93789) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Harvard Medical School (2008).

NPPES Registry Identity

NPI1699933663
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GARY WILLIAM SWAIN JR.Credential: M.D.
Location Address980 JOHNSON FY RD NE STE 880Atlanta, GA 30342-1609
Mailing Address980 Johnson Fy Rd Ne Ste 880Atlanta, GA 30342-1609 · (404) 255-8304 · Fax (404) 256-4578
Phone(404) 255-8304
Fax(404) 256-4578
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2008
Enumeration DateMay 27, 2008
Last NPPES UpdateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1699933663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 93789✔ Licensed in NY · 258894
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
980 JOHNSON FY RD NE STE 880, Atlanta, GA 30342
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Gary William Swain Jr. 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 ID1759690282
PECOS Enrollment IDI20230104000585
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

3

Medicare enrollment records show Gary Swain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Surgical Professional Services LLC
0.1 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
Icahn School Of Medicine At Mount Sinai
743 mi
Otolaryngology
5 E 98TH ST, BOX 1191
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1477932275 (New York)
  • 329 clinicians in this Medicare group
NPI 1538407176 (212) 241-9410
North Shore Medical Group Of The Mount Sinai School Of Medicine
757 mi
Internal Medicine
2020 WANTAGH AVE
Wantagh, NY 11793
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1992417323 (516) 961-4545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 2

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

ALEXANDRA ALEXIS CNP
Nurse Practitioner (Family)
980 JOHNSON FY RD NE STE 880
ATLANTA, GA 30342
Fulton County (404) 255-8304
DR. AKIL JAHI GORDON MD
Surgery
980 JOHNSON FY RD NE STE 880
ATLANTA, GA 30342
Fulton County (404) 255-8304

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 Gary Swain's NPI number?

The NPI number for Gary Swain is 1699933663. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Gary Swain located?

Gary Swain practices at 980 Johnson Fy Rd NE Ste 880, Atlanta, GA 30342. The listed phone number is (404) 255-8304.

What is Gary Swain's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gary Swain enrolled in Medicare?

Yes. Gary Swain 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 Gary Swain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Swain reassigns Medicare benefits to 3 organizations: Northside Surgical Professional Services LLC (Atlanta, GA), Icahn School Of Medicine At Mount Sinai (New York, NY) and North Shore Medical Group Of The Mount Sinai School Of Medicine (Wantagh, NY). 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 Gary Swain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Swain accept?

Health plans from Oscar Health list Gary Swain 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 Gary Swain affiliated with any hospitals?

According to CMS data, Gary Swain is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Gary Swain was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.