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DR. JUAN-MANUEL DURAN M.D.
NPI 1821522855
Family Medicine in Johns Creek, GA

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
11315 JOHNS CREEK PKWY STE 100, JOHNS CREEK, GA 30097(470) 632-8160 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2025, Apr 17, 2017 (2 updates tracked since 2017).

About Dr. Juan-manuel Duran M.d. NPPES

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

DR. JUAN-MANUEL DURAN M.D. (NPI 1821522855) is an individual family medicine provider in Johns Creek, Georgia, licensed in Ohio (35C.002583) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2017).

NPPES Registry Identity

NPI1821522855
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUAN-MANUEL DURANCredential: M.D.
Location Address11315 JOHNS CREEK PKWY STE 100Johns Creek, GA 30097-2645
Mailing Address993 Johnson Fy Rd NeAtlanta, GA 30342-1620 · (404) 256-1727
Phone(470) 632-8160
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2017
Enumeration DateApril 17, 2017
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1821522855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35C.002583
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11315 JOHNS CREEK PKWY STE 100, Johns Creek, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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. Juan-manuel Duran 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 ID9638540305
PECOS Enrollment IDI20260317004363
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 Juan-manuel Duran reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peachtree Immediate Care Fp, LLC
36 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900
Nes Tennessee Inc
117 mi
Emergency Medicine
4401 RIVERCHASE DR
Phenix City, AL 36867
  • Reassigned Medicare billing, Alabama enrollment
  • 168 clinicians in this Medicare group
NPI 1629609631 (334) 732-3000
Green Valley Hospital Medicine Physicians, LLC
326 mi
Internal Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 50 clinicians in this Medicare group
NPI 1215604236 (271) 444-2444
NW Ohio Hospital Medicine Physicians LLC
481 mi
Emergency Medicine
1900 S MAIN ST
Findlay, OH 45840
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
NPI 1023794377 (419) 423-4500

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 30097 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.

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 Juan-manuel Duran's NPI number?

The NPI number for Juan-manuel Duran is 1821522855. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Juan-manuel Duran located?

Juan-manuel Duran practices at 11315 Johns Creek Pkwy Ste 100, Johns Creek, GA 30097. The listed phone number is (470) 632-8160.

What is Juan-manuel Duran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Juan-manuel Duran enrolled in Medicare?

Yes. Juan-manuel Duran 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 Juan-manuel Duran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan-manuel Duran reassigns Medicare benefits to 4 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA), Nes Tennessee Inc (Phenix City, AL), Green Valley Hospital Medicine Physicians, LLC (Paducah, KY) and NW Ohio Hospital Medicine Physicians LLC (Findlay, OH). 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 Juan-manuel Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan-manuel Duran 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 Juan-manuel Duran 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 Juan-manuel Duran was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.