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DR. JOSHUA G SEPESI M.D.
NPI 1730191487
Obstetrics & Gynecology in Athens, GA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
1270 PRINCE AVE, SUITE 308, ATHENS, GA 30606(706) 552-1600(706) 552-5370 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Joshua G Sepesi M.d. NPPES

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

DR. JOSHUA G SEPESI M.D. (NPI 1730191487) is an individual obstetrics & gynecology provider in Athens, Georgia, licensed in Georgia (051738) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Baylor College Of Medicine (1996).

NPPES Registry Identity

NPI1730191487
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOSHUA G SEPESICredential: M.D.
Location Address1270 PRINCE AVE, SUITE 308Athens, GA 30606-2762
Mailing Address1270 Prince Ave, Suite 308Athens, GA 30606-2762 · (706) 552-1600 · Fax (706) 552-5370
Phone(706) 552-1600
Fax(706) 552-5370
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1996
Enumeration DateAugust 12, 2006
Last NPPES UpdateFebruary 14, 2012
✔ NPI 1730191487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 051738
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1270 PRINCE AVE, Athens, GA 30606
Open in Google Maps ↗

Other Identifiers 11

Other1730191487GA · United Healthcare
Other6112GA · Kaiser
Other963216GA · Blue Cross Blue Shield
Other10059222GA · Amerigroup
Medicaid000959615HGA
Other1730191487GA · Tricare
Other2770995GA · Cigna
Other322075GA · Wellcare
Other1730191487GA · Athens Area Health Plan Select (aahps)
Medicare UPIN202I509106GA
Medicare ID-Type Unspecified16BBCWWGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Joshua G Sepesi 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 ID42294399
PECOS Enrollment IDI20040615001174
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 Joshua Sepesi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Athens Healthcare For Women PC
Same address
Obstetrics & Gynecology
1270 PRINCE AVE, SUITE 308
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1184771313 (706) 552-1600
Obhg Georgia, P.C.
0.2 mi
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1750686838 (800) 967-2289
Dhp Of Georgia PC
1.2 mi
Obstetrics & Gynecology
1230 BAXTER ST
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1578826988 (999) 999-9999
Privia Medical Group Of Georgia LLC
72 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

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

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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 20

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

MS. TINUOLA OMONIYI ANDRE MD
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Clarke County (706) 475-7055
ATHENS WOMEN'S CLINIC, LLP
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Clarke County (706) 548-1388
MRS. BROOKE MATTHEWS
Nurse Practitioner (Primary Care)
1270 PRINCE AVE
ATHENS, GA 30606
Clarke County (678) 347-2153
SYEDA FATIMA RAZA GILLANI
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606
Clarke County (706) 475-7055
PAMELA RUBIO NP
Nurse Practitioner (Family)
1270 PRINCE AVE
ATHENS, GA 30606
Clarke County (706) 543-5873
CYNTHIA ANN MERCER M.D.
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Clarke County (706) 548-1388
FAWWAD ALAM ANSARI M.D.
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Clarke County (706) 475-7055
MR. ANIS M ALKATEB ABOBAKER M.D
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Clarke County (706) 475-7055

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 Joshua Sepesi's NPI number?

The NPI number for Joshua Sepesi is 1730191487. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Joshua Sepesi located?

Joshua Sepesi practices at 1270 Prince Ave Suite 308, Athens, GA 30606. The listed phone number is (706) 552-1600.

What is Joshua Sepesi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joshua Sepesi enrolled in Medicare?

Yes. Joshua Sepesi 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 Joshua Sepesi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Sepesi reassigns Medicare benefits to 4 organizations: Athens Healthcare For Women PC (Athens, GA), Obhg Georgia, P.C. (Athens, GA), Dhp Of Georgia PC (Athens, GA) and Privia Medical Group Of Georgia LLC (Fayetteville, 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 Joshua Sepesi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Sepesi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Joshua Sepesi 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 Joshua Sepesi affiliated with any hospitals?

According to CMS data, Joshua Sepesi is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Sepesi was last updated on February 14, 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.