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

TSEGA TEMTEM M.D.
NPI 1730522673
Pediatrics - Pediatric Gastroenterology in Atlanta, GA

Active since April 10, 2013PECOS Enrolled
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-3020 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2024, Oct 27, 2020, Apr 10, 2020 and 4 more (7 updates tracked since 2016).

About Tsega Temtem M.d. NPPES

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

TSEGA TEMTEM M.D. (NPI 1730522673) is an individual pediatric gastroenterology provider in Atlanta, Georgia, licensed in Georgia (97197) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730522673
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameTSEGA TEMTEMCredential: M.D.
Location Address2174 N DRUID HILLS RD NEAtlanta, GA 30329-3102
Mailing Address2174 N Druid Hills Rd NeAtlanta, GA 30329-3102 · (404) 785-3020
Phone(404) 785-3020
Sole ProprietorNo
Enumeration DateApril 10, 2013
Last NPPES UpdateSeptember 16, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1730522673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in GA · 97197
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
2174 N DRUID HILLS RD NE, Atlanta, GA 30329
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, 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 (PECOS)

Tsega Temtem M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Tsega Temtem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
2.8 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Ut Lebonheur Pediatric Specialists, Inc.
338 mi
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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.

JACOB A HUMPHREY MD
Pediatrics (Pediatric Nephrology)
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
ERIN E GUSTAFSON M.S., CCC-SLP
Speech-Language Pathologist
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-7022
MS. ELIZABETH JANE LACKEY CPNP
Nurse Practitioner (Pediatrics)
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-2897
KEVIN MONTGOMERY PA-C
Physician Assistant (Medical)
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
DR. MADELEINE HEBERT MCLAUGHLIN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
PERI CAVUSGIL CGC
Genetic Counselor, MS
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
MS. STEPHANIE PENDLEY CPNP
Nurse Practitioner (Pediatrics)
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-8821
ANA KUCELIN RDN, LDN
Dietitian, Registered
2174 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437

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 Tsega Temtem's NPI number?

The NPI number for Tsega Temtem is 1730522673. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Tsega Temtem located?

Tsega Temtem practices at 2174 N Druid Hills Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-3020.

What is Tsega Temtem's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Tsega Temtem enrolled in Medicare?

Yes. Tsega Temtem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tsega Temtem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tsega Temtem reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). 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 Tsega Temtem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tsega Temtem accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Health list Tsega Temtem 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.

When was this NPI record last updated?

The NPPES record for Tsega Temtem was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.