SANDEEP D GOSWAMI NP
NPI 1750152518
Nurse Practitioner - Family in Stone Mountain, GA

Active since January 11, 2024PECOS Enrolled
1183 S HAIRSTON RD, STONE MOUNTAIN, GA 30088(404) 296-8858 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandeep D Goswami Np NPPES

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

SANDEEP D GOSWAMI NP (NPI 1750152518) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN255889) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750152518
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSANDEEP D GOSWAMICredential: NP
Location Address1183 S HAIRSTON RDStone Mountain, GA 30088-2796
Mailing Address1183 S Hairston RdStone Mountain, GA 30088-2796 · (404) 296-8858
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1750152518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN255889
1183 S HAIRSTON RD, Stone Mountain, GA 30088

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandeep D Goswami Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052800075
PECOS Enrollment IDI20251030000751
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 Sandeep Goswami reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4775 JIMMY CARTER BLVD STE 201
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
Clinic/Center
79 PEMBROKE PT
Centerville, GA 31028
  • Reassigned Medicare billing, Georgia enrollment

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 30088 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
$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

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

Family Medicine
1183 S HAIRSTON RD, SUITE A
STONE MOUNTAIN, GA 30088

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 Sandeep Goswami's NPI number?

The NPI number for Sandeep Goswami is 1750152518. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Sandeep Goswami located?

Sandeep Goswami practices at 1183 S Hairston Rd, Stone Mountain, GA 30088. The listed phone number is (404) 296-8858.

What is Sandeep Goswami's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandeep Goswami enrolled in Medicare?

Yes. Sandeep Goswami is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandeep Goswami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Goswami reassigns Medicare benefits to 2 organizations: Elina Healthcare Inc (Norcross, GA) and Tripleheart Wound Care (Centerville, 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 Sandeep Goswami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Goswami accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sandeep Goswami 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 Sandeep Goswami was last updated on January 11, 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.