DR. BEATRICE CLODOMIR D.O.
NPI 1760640924
Pediatrics in Stone Mountain, GA

Q: What is Beatrice Clodomir's NPI number?

The NPI number for Beatrice Clodomir is 1760640924. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Q: What is Beatrice Clodomir's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Beatrice Clodomir was last updated on December 26, 2023. 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.

Active since May 23, 2008PECOS Enrolled

5582 MEMORIAL DR, STONE MOUNTAIN, GA 30083(404) 298-8998(404) 298-7658 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Beatrice Clodomir D.o. NPPES

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

DR. BEATRICE CLODOMIR D.O. (NPI 1760640924) is an individual pediatrics provider in Stone Mountain, Georgia, licensed in Georgia (65531) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760640924

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. BEATRICE CLODOMIRCredential: D.O.

Location Address5582 MEMORIAL DRStone Mountain, GA 30083-3215

Mailing Address5582 Memorial DrStone Mountain, GA 30083-3215 · (404) 298-8998 · Fax (404) 298-7658

Phone(404) 298-8998

Fax(404) 298-7658

Sole ProprietorNo

Enumeration DateMay 23, 2008

Last NPPES UpdateDecember 26, 2023

NPPES CertifiedDecember 26, 2023

✔ NPI 1760640924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 65531

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5582 MEMORIAL DR, Stone Mountain, GA 30083

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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 (PECOS)

Dr. Beatrice Clodomir D.o. 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 Reassignment

Medicare enrollment records show Beatrice Clodomir reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medcura Health, Inc.

Same address

Federally Qualified Health Center (FQHC)

5582 MEMORIAL DR
Stone Mountain, GA 30083

Reassigned Medicare billing, Georgia enrollment
108 clinicians in this Medicare group

NPI 1417011487 (404) 298-8998

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 30083 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 12

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

JULIE NOELLE KNISELY FNP-BC

Nurse Practitioner (Family)