DR. GEDION A GETACHEW M.D.
NPI 1871633701
Internal Medicine in Winder, GA

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
316 N BROAD ST, WINDER, GA 30680(478) 929-0036(478) 929-1744 Get Directions Write a Review

NPPES record last updated: June 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gedion A Getachew M.d. NPPES

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

DR. GEDION A GETACHEW M.D. (NPI 1871633701) is an individual internal medicine provider in Winder, Georgia, licensed in Georgia (058681) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1871633701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GEDION A GETACHEWCredential: M.D.
Location Address316 N BROAD STWinder, GA 30680-2150
Mailing Address125 Jennings Mill PkwyAthens, GA 30606-7455 · (646) 591-4177
Fax(478) 929-1744
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJune 11, 2011
NPI 1871633701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 058681
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
316 N BROAD ST, Winder, GA 30680

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. Gedion A Getachew 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 ID1052416930
PECOS Enrollment IDI20070423000045
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
155 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30680 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$15.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$65.99 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$13.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
316 N BROAD ST
WINDER, GA 30680
Hospitalist
316 N BROAD ST
WINDER, GA 30680
Radiology (Diagnostic Radiology)
316 N BROAD ST
WINDER, GA 30680
Dentist (Pediatric Dentistry)
316 N BROAD ST
WINDER, GA 30680
Nurse Anesthetist, Certified Registered
316 N BROAD ST
WINDER, GA 30680
Anesthesiology
316 N BROAD ST
WINDER, GA 30680
Nurse Practitioner (Family)
316 N BROAD ST
WINDER, GA 30680
Internal Medicine
316 N BROAD ST
WINDER, GA 30680

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 Gedion Getachew's NPI number?

The NPI number for Gedion Getachew is 1871633701. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Gedion Getachew located?

Gedion Getachew practices at 316 N Broad St, Winder, GA 30680. The listed phone number is (478) 929-0036.

What is Gedion Getachew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gedion Getachew enrolled in Medicare?

Yes. Gedion Getachew 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.

Is Gedion Getachew affiliated with any hospitals?

According to CMS data, Gedion Getachew is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Gedion Getachew was last updated on June 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.