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DR. RODNEY J AVERY M.D.
NPI 1710140132
Internal Medicine in Gainesville, GA

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
743 SPRING STREET, GAINESVILLE, GA 30501(770) 219-6000(770) 219-6021 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rodney J Avery M.d. NPPES

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

DR. RODNEY J AVERY M.D. (NPI 1710140132) is an individual internal medicine provider in Gainesville, Georgia, licensed in Illinois (125052097) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1710140132
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RODNEY J AVERYCredential: M.D.
Location Address743 SPRING STREETGainesville, GA 30501-1267
Mailing Address1405 Jesse Jewell ParkwayGainesville, GA 30501-3806 · (770) 219-7826 · Fax (770) 219-2625
Phone(770) 219-6000
Fax(770) 219-6021
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004
Enumeration DateJuly 7, 2008
Last NPPES UpdateApril 11, 2011
✔ NPI 1710140132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125052097
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.
743 SPRING STREET, Gainesville, GA 30501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. Rodney J Avery 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 ID7719038934
PECOS Enrollment IDI20111024000292
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

4

Medicare enrollment records show Rodney Avery reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Group LLC
41 mi
Pulmonary Disease
3605 SANDY PLAINS RD STE 240-235
Marietta, GA 30066
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1194235853 (770) 990-8212
Georgia Hospitalists Group, LLC
60 mi
Hospitalist
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 160 clinicians in this Medicare group
NPI 1033576376 (770) 991-8000
Southern Regional Physicians Management Group, LLC
60 mi
Surgery
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
NPI 1043677271 (770) 991-8000
Cogent Healthcare Of Georgia PC
99 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 9

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.

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.
267 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
172 services155 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
149 services63 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.
127 services59 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$22.51 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$7.97 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$6.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

CHARLOTTE ROSE THOMPSON
Student in an Organized Health Care Education/Training Program
743 SPRING STREET
GAINESVILLE, GA 30501
Hall County (770) 219-1200
MRS. PAIGE R COCCO AGACNP
Nurse Practitioner (Gerontology)
743 SPRING STREET
GAINESVILLE, GA 30501
Hall County (770) 534-2020
MOAZ AHMAD M.D.
Internal Medicine
743 SPRING STREET, SUITE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. MUHAMMAD ADEEL AKHTAR MD
Internal Medicine
743 SPRING STREET, SUITE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
REBECCA LAUREN HOLLOWAY NP
Nurse Practitioner
743 SPRING STREET
GAINESVILLE, GA 30501
Hall County (770) 219-9000
DR. ELISA NEIBLING DO
Student in an Organized Health Care Education/Training Program
743 SPRING STREET
GAINESVILLE, GA 30501
Hall County (770) 219-1200
DR. PETE D WILLIAMS MD
Hospitalist
743 SPRING STREET
GAINESVILLE, GA 30501
Hall County (770) 219-6018
DR. JEVAUGHN HENRY DO
Student in an Organized Health Care Education/Training Program
743 SPRING STREET
GAINESVILLE, GA 30501
Hall County (770) 219-1200

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 Rodney Avery's NPI number?

The NPI number for Rodney Avery is 1710140132. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Rodney Avery located?

Rodney Avery practices at 743 Spring Street, Gainesville, GA 30501. The listed phone number is (770) 219-6000.

What is Rodney Avery's specialty?

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

Is Rodney Avery enrolled in Medicare?

Yes. Rodney Avery 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 Rodney Avery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Avery reassigns Medicare benefits to 4 organizations: Covenant Medical Group LLC (Marietta, GA), Georgia Hospitalists Group, LLC (Riverdale, GA), Southern Regional Physicians Management Group, LLC (Riverdale, GA) and Cogent Healthcare Of Georgia PC (Macon, 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 Rodney Avery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodney Avery accept?

Health plans from Alliant Health Plans, Inc. list Rodney Avery 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 Rodney Avery affiliated with any hospitals?

According to CMS data, Rodney Avery is affiliated with Grady Memorial Hospital and Southern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rodney Avery was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.