JOSEPH SEBASTIAN MD
NPI 1992201495
Family Medicine in Buchanan, GA

Q: What is Joseph Sebastian's NPI number?

The NPI number for Joseph Sebastian is 1992201495. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Joseph Sebastian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Sebastian was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 03, 2018PECOS EnrolledAccepts Medicare Assignment

88.16/100

CMS Quality Rating

2908 BUSINESS 27, BUCHANAN, GA 30113(770) 646-8281 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Jul 1, 2021 (2 updates tracked since 2021).

On this page

About Joseph Sebastian Md NPPES

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

JOSEPH SEBASTIAN MD (NPI 1992201495) is an individual family medicine provider in Buchanan, Georgia, licensed in Ohio (35.141622) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1992201495

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSEPH SEBASTIANCredential: MD

Location Address2908 BUSINESS 27Buchanan, GA 30113-4857

Mailing Address2908 Business 27Buchanan, GA 30113-4857 · (770) 646-8281

Phone(770) 646-8281

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 3, 2018

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1992201495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35.141622✔ Licensed in GA · 98309

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

2908 BUSINESS 27, Buchanan, GA 30113

Open in Google Maps ↗

Secondary Practice Location 1

Location 12600 Sixth St SWCanton, OH 44710-1702 · Phone (330) 363-6211 · Fax (330) 453-4263

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

Joseph Sebastian 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 ID5698176444

PECOS Enrollment IDI20240613002900

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.

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111320

Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30113 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

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.

88.16/100

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

Scored as part of a group practice

Quality

80.91

Promoting Interoperability

Improvement Activities

Cost

65.87

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.14 avg. paid by Medicare

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 supplier12 claims12 services$87.75 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANIE WEBB TURNER NP

Nurse Practitioner (Family)

2908 BUSINESS 27
BUCHANAN, GA 30113

Haralson County (770) 646-8281

TMC BUCHANAN FAMILY HEALTHCARE CENTER

Clinic/Center (Rural Health)

2908 BUSINESS 27
BUCHANAN, GA 30113

Haralson County (770) 646-8281

KARLA EILEEN HEMPHILL HARRIS DO

Family Medicine

2908 BUSINESS 27
BUCHANAN, GA 30113

Haralson County (770) 646-8281

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 Sebastian's NPI number?

The NPI number for Joseph Sebastian is 1992201495. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Joseph Sebastian located?

Joseph Sebastian practices at 2908 Business 27, Buchanan, GA 30113. The listed phone number is (770) 646-8281.

What is Joseph Sebastian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Sebastian enrolled in Medicare?

Yes. Joseph Sebastian 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 Joseph Sebastian accept?

Health plans from Alliant Health Plans, Inc. list Joseph Sebastian 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 Joseph Sebastian affiliated with any hospitals?

According to CMS data, Joseph Sebastian is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Sebastian was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.