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JOSEPH W REDCROSS II D.O.
NPI 1912107640
Surgery in Marietta, GA

Active since July 20, 2007PECOS Enrolled
92.93/100
CMS Quality Rating
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060(770) 428-0462(770) 427-8001 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph W Redcross Ii D.o. NPPES

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

JOSEPH W REDCROSS II D.O. (NPI 1912107640) is an individual surgery provider in Marietta, Georgia, licensed in Georgia (69941) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912107640
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOSEPH W REDCROSS IICredential: D.O.
Location Address55 WHITCHER ST NE STE 130Marietta, GA 30060-1156
Mailing Address55 Whitcher St Ne Ste 130Marietta, GA 30060-1156 · (770) 428-0462
Phone(770) 428-0462
Fax(770) 427-8001
Sole ProprietorNo
Enumeration DateJuly 20, 2007
Last NPPES UpdateNovember 8, 2019
✔ NPI 1912107640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 69941✔ Licensed in SC · 1132✔ Licensed in PA · OT 010413
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 ListedPhlebologyTaxonomy 202K00000X · License 1132 (SC)
55 WHITCHER ST NE STE 130, Marietta, GA 30060
Open in Google Maps ↗

Other Identifiers 1

MedicaidGP3518SC

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 (PECOS)

Joseph W Redcross Ii D.o. 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

2

Medicare enrollment records show Joseph Redcross reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
Same address
Urology
55 WHITCHER ST NE, SUITE 250
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1467883512 (770) 428-4475
The Southeast Permanente Medical Group
13 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30060 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier11 claims11 services$66.23 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.

WELLSTAR SURGICAL ASSOCIATES OF MARIETTA
General Acute Care Hospital (Critical Access)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
KIMBERLY LYNN BROWN PA-C
Physician Assistant
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
DR. DANIELLA BARKER KINGTON MD
Surgery
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
DAVID LEE SMITH JR. MD
Orthopaedic Surgery (Orthopaedic Trauma)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
MARK ESSHAKI D.O.
Surgery
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
MS. INDIA HUNT MSN, APRN, FNP-BC
Nurse Practitioner (Family)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
ANTHONY ROBERT BUSCH PA-C
Physician Assistant
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
PATIENCE CHANTEL GREEN MD
Surgery (Trauma Surgery)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Cobb County (770) 428-0462

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 Joseph Redcross's NPI number?

The NPI number for Joseph Redcross is 1912107640. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Joseph Redcross located?

Joseph Redcross practices at 55 Whitcher St NE Ste 130, Marietta, GA 30060. The listed phone number is (770) 428-0462.

What is Joseph Redcross's specialty?

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

Is Joseph Redcross enrolled in Medicare?

Yes. Joseph Redcross is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joseph Redcross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Redcross reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and The Southeast Permanente Medical Group (Atlanta, 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 Joseph Redcross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Redcross 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 Joseph Redcross 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 Joseph Redcross was last updated on November 8, 2019. 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.