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DR. JAMES S FRANKLIN M.D.
NPI 1891752960
Surgery in Fayetteville, GA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
1265 HIGHWAY 54 W, SUITE 500B, FAYETTEVILLE, GA 30214(770) 719-5660(678) 817-4339 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2020, May 24, 2019 (2 updates tracked since 2019).

About Dr. James S Franklin M.d. NPPES

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

DR. JAMES S FRANKLIN M.D. (NPI 1891752960) is an individual surgery provider in Fayetteville, Georgia, licensed in Georgia (051802) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1891752960
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES S FRANKLINCredential: M.D.
Location Address1265 HIGHWAY 54 W, SUITE 500BFayetteville, GA 30214-4548
Mailing Address1265 Highway 54 W Ste 500bFayetteville, GA 30214-4556 · (678) 336-5951 · Fax (678) 336-5955
Phone(770) 719-5660
Fax(678) 817-4339
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 24, 20202 updates tracked since enumeration
NPPES CertifiedJuly 24, 2020
✔ NPI 1891752960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 051802
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License 051802 (GA)
1265 HIGHWAY 54 W, Fayetteville, GA 30214
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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. James S Franklin 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 ID7517997786
PECOS Enrollment IDI20110119000130
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.

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.
63 services30 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.
53 services53 patients
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.
45 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services30 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

MR. RYAN CHRISTOPHER YOLITZ PT
Physical Therapist
1265 HIGHWAY 54 W, SUITE 103 AND 308
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
A CUT ABOVE SURGICAL ASSISTING, LLC
Specialist/Technologist, Other (Surgical Assistant)
1265 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (404) 862-0746
DR. JOHN E BURNEY M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6550
DR. BRYAN L WOODS M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (770) 719-3240
DR. JARRYD A JACKSON PHARMD
Pharmacist
1265 HIGHWAY 54 W, SUITE #201
FAYETTEVILLE, GA 30214
Fayette County (678) 435-3046
DAVID MICHEL PA
Physician Assistant (Medical)
1265 HIGHWAY 54 W, SUITE 102
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
OLUMUYIWA JOSHUA MD
Internal Medicine (Critical Care Medicine)
1265 HIGHWAY 54 W, SUITE 500-D
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5625
CAROL D MARTIN NP
Nurse Practitioner
1265 HIGHWAY 54 W, SUITE 409
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6505

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 Franklin's NPI number?

The NPI number for James Franklin is 1891752960. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is James Franklin located?

James Franklin practices at 1265 Highway 54 W Suite 500B, Fayetteville, GA 30214. The listed phone number is (770) 719-5660.

What is James Franklin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Franklin enrolled in Medicare?

Yes. James Franklin 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 James Franklin 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 Franklin 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 James Franklin affiliated with any hospitals?

According to CMS data, James Franklin is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for James Franklin was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.