Individual provider Active NPI

James Bradford Depew, MD FACS

  • Plastic and Reconstructive Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1033374392
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
078473 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd Ste 470
Sandy Springs, GA 30342-1776
Phone
(678) 752-7842
Fax
(678) 374-7327
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 078473 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd Ste 470
Sandy Springs, GA 30342-1776

Mailing address

5673 Peachtree Dunwoody Rd Ste 470
Sandy Springs, GA 30342-1776
Phone (678) 752-7842

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamesdepew@depewplastics.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911000145 GA Practitioner - Plastic and Reconstructive Surgery 6901026707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1033374392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 470",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421776",
            "telephone_number": "678-752-7842",
            "fax_number": "678-374-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 470",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421776",
            "telephone_number": "678-752-7842",
            "fax_number": "678-374-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "JAMES",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "078473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamesdepew@depewplastics.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "ModMed DirectMail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5673 Peachtree Dunwoody Rd Ste 470",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.