JAMES NATHANIEL STARR D.O.
NPI 1942567060
Psychiatry & Neurology - Neurology in Gainesville, GA

Q: What is James Starr's NPI number?

The NPI number for James Starr is 1942567060. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Q: What is James Starr's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for James Starr was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment

82.55/100

CMS Quality Rating

1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501(770) 219-6520 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, May 21, 2020, Dec 21, 2017 (3 updates tracked since 2017).

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About James Nathaniel Starr D.o. NPPES

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

JAMES NATHANIEL STARR D.O. (NPI 1942567060) is an individual neurology provider in Gainesville, Georgia, licensed in Georgia (85414) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1942567060

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameJAMES NATHANIEL STARRCredential: D.O.

Location Address1315 JESSE JEWELL PKWY NE STE 300Gainesville, GA 30501-3822

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 219-6520

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2012

Enumeration DateApril 13, 2012

Last NPPES UpdateDecember 8, 20203 updates tracked since enumeration

NPPES CertifiedDecember 8, 2020

✔ NPI 1942567060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in GA · 85414✔ Licensed in SD · 10669

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1315 JESSE JEWELL PKWY NE STE 300, Gainesville, GA 30501

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Secondary Practice Location 1

Location 12055 E South BlvdMontgomery, AL 36116-2001 · Phone (334) 551-2002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

James Nathaniel Starr D.o. 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 ID547529323

PECOS Enrollment IDI20200702002665

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 8

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

16,400 services32 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.

364 services235 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

101 services79 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.

76 services76 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

55 services23 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.

40 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA

OwnershipProprietary

CMS Certification Number110045

Location316 North Broad StreetWinder, GA 30680 · Barrow County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.14

Promoting Interoperability

100

Improvement Activities

Cost

60.7

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.

LAURA J BANNER NP

Nurse Practitioner (Family)