JAMES A APPIAH-PIPPIM MD
NPI 1891732012
Internal Medicine in Athens, GA

Active since May 31, 2006PECOS Enrolled
91.65/100
CMS Quality Rating
1270 PRINCE AVE, STE 201, ATHENS, GA 30606(706) 475-7055(706) 548-7153 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James A Appiah-pippim Md NPPES

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

JAMES A APPIAH-PIPPIM MD (NPI 1891732012) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (072438) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891732012
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES A APPIAH-PIPPIMCredential: MD
Location Address1270 PRINCE AVE, STE 201Athens, GA 30606-2762
Mailing AddressPo Box 161463Atlanta, GA 30321-1463 · (706) 369-5440 · Fax (706) 369-5490
Fax(706) 548-7153
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 29, 2016
✔ NPI 1891732012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 072438
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 072438 (GA)
1270 PRINCE AVE, Athens, GA 30606

Other Identifiers 3

Other072438GA · State License
Medicaid003148595BGA
Medicare PIN202I293003GA

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)

James A Appiah-pippim Md 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 Reassignments

3

Medicare enrollment records show James Appiah-pippim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1270 PRINCE AVE, STE 201
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
Family Medicine
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 118 clinicians in this Medicare group
Pulmonary Disease
3320 OLD JEFFERSON RD, BLDG 200 SUITE A
Athens, GA 30607
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group

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 30606 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.

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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

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.

Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Nurse Practitioner (Primary Care)
1270 PRINCE AVE
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 102
ATHENS, GA 30606
Nurse Practitioner (Family)
1270 PRINCE AVE
ATHENS, GA 30606
Obstetrics & Gynecology (Gynecology)
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE, SUITE 201
ATHENS, GA 30606

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 James Appiah-pippim's NPI number?

The NPI number for James Appiah-pippim is 1891732012. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is James Appiah-pippim located?

James Appiah-pippim practices at 1270 Prince Ave Ste 201, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is James Appiah-pippim's specialty?

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

Is James Appiah-pippim enrolled in Medicare?

Yes. James Appiah-pippim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Appiah-pippim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Appiah-pippim reassigns Medicare benefits to 3 organizations: Piedmont Athens Regional Medical Center, Inc (Athens, GA), Piedmont Athens Primary Care LLC (Athens, GA) and Athens Pulmonary And Allergy, P.C. (Athens, 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 James Appiah-pippim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Appiah-pippim 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 James Appiah-pippim 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 James Appiah-pippim was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.