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DR. TOMMIE HAYWOOD III MD
NPI 1811979339
Internal Medicine - Gastroenterology in Decatur, GA

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
2665 N DECATUR RD, SUITE 350, DECATUR, GA 30033(678) 553-0226(678) 553-0029 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tommie Haywood Iii Md NPPES

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

DR. TOMMIE HAYWOOD III MD (NPI 1811979339) is an individual gastroenterology provider in Decatur, Georgia, licensed in Georgia (49420) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1997).

NPPES Registry Identity

NPI1811979339
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. TOMMIE HAYWOOD IIICredential: MD
Location Address2665 N DECATUR RD, SUITE 350Decatur, GA 30033-6149
Mailing Address550 Peachtree St Ne, Suite 1600Atlanta, GA 30308-2208 · (404) 888-7575 · Fax (404) 885-7777
Phone(678) 553-0226
Fax(678) 553-0029
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1997
Enumeration DateNovember 18, 2005
Last NPPES UpdateApril 28, 2014
✔ NPI 1811979339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 49420
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2665 N DECATUR RD, Decatur, GA 30033
Open in Google Maps ↗

Other Identifiers 3

Medicaid640122796DGA
Medicare ID-Type Unspecified10BDHDKGA
Medicare UPINH80326GA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tommie Haywood Iii Md 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 ID8729097324
PECOS Enrollment IDI20060410000443
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.

Areas of Expertise CMS Part B claims 10

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.
34 services31 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services20 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
21 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

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.

DR. SARAH ELIZABETH DEROSSETT M.D., PHD.
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, STE 630
DECATUR, GA 30033
Dekalb County (404) 294-3040
MARSHALL L. NASH M.D.
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, SUITE 540
DECATUR, GA 30033
Dekalb County (404) 508-4008
KENNETH MELBY M.D.
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Dekalb County (404) 294-4018
DR. ANNEMAREI RANTA M.D.
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, STE 630
DECATUR, GA 30033
Dekalb County (404) 294-3040
DR. ELEANOR M. HO MD, MPH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2665 N DECATUR RD, SUITE 750
DECATUR, GA 30033
Dekalb County (770) 279-3838
GULZAR B. KASSAM, MD, P.C.
Obstetrics & Gynecology (Obstetrics)
2665 N DECATUR RD, SUITE 255
DECATUR, GA 30033
Dekalb County (678) 904-1150
JOSE FERNANDO ARISTIZABAL MD
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Dekalb County (404) 294-4018
DR. DAVID CLAUDE SNYDER M.D.
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Dekalb County (404) 294-4018

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 Tommie Haywood's NPI number?

The NPI number for Tommie Haywood is 1811979339. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Tommie Haywood located?

Tommie Haywood practices at 2665 N Decatur Rd Suite 350, Decatur, GA 30033. The listed phone number is (678) 553-0226.

What is Tommie Haywood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Tommie Haywood enrolled in Medicare?

Yes. Tommie Haywood 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.

What insurance does Tommie Haywood accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Tommie Haywood 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 Tommie Haywood affiliated with any hospitals?

According to CMS data, Tommie Haywood is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Tommie Haywood was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.