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ALTIN GJYMISHKA MD
NPI 1982138590
Hospitalist in Macon, GA

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
777 HEMLOCK ST, MACON, GA 31201(478) 633-7550(478) 633-3235 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2020, Mar 17, 2018, Feb 23, 2018 and 2 more (5 updates tracked since 2017).

About Altin Gjymishka Md NPPES

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

ALTIN GJYMISHKA MD (NPI 1982138590) is an individual hospitalist provider in Macon, Georgia, licensed in Georgia (85768) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1982138590
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameALTIN GJYMISHKACredential: MD
Location Address777 HEMLOCK STMacon, GA 31201-2102
Mailing Address764 Pine StMacon, GA 31201-2107 · (478) 633-1721 · Fax (478) 633-2316
Phone(478) 633-7550
Fax(478) 633-3235
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 20, 2017
Last NPPES UpdateJune 1, 20205 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1982138590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 85768
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 009116 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
777 HEMLOCK ST, Macon, GA 31201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1707 Pine StMacon, GA 31201-2106 · Phone (478) 301-5824

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

Altin Gjymishka Md 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 ID1355605072
PECOS Enrollment IDI20200608000037
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 6

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.
370 services162 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
331 services140 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.
120 services120 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services68 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.
51 services51 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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.

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.

LAUREN WAGNER D.O.
Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Bibb County (478) 633-7600
AMELIA CATHERINE LLERENA
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6701
JO BETH ROBERTS NP
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6706
RONALD KNIGHTS PHRAM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-1434
MRS. DENA D MCKENNA PAAA
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Bibb County (478) 633-1000
LOWELL CLARK MD
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Bibb County (478) 633-7140
RICHARD A SCHERER CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244
DEMETRA D MCGLOTHIN CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244

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 Altin Gjymishka's NPI number?

The NPI number for Altin Gjymishka is 1982138590. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Altin Gjymishka located?

Altin Gjymishka practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-7550.

What is Altin Gjymishka's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Altin Gjymishka enrolled in Medicare?

Yes. Altin Gjymishka 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 Altin Gjymishka accept?

Health plans from Alliant Health Plans, Inc. list Altin Gjymishka 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 Altin Gjymishka affiliated with any hospitals?

According to CMS data, Altin Gjymishka is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Altin Gjymishka was last updated on June 1, 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.