Individual provider Active NPI

James Mobley Combs III, M.D.

  • Surgery Physician
  • Newnan, GA
National Provider Identifier
1548418684
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
001164 Issued in GA
Practice address
775 Poplar Rd
Suite 260
Newnan, GA 30265-8300
Phone
(404) 524-0095
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 001164 GA Primary

Addresses

Primary practice location

775 Poplar Rd
Suite 260
Newnan, GA 30265-8300

Mailing address

775 Poplar Rd
Suite 260
Newnan, GA 30265-8300
Phone (404) 524-0095

Other identifiers 1

IdentifierTypeStateIssuer
003126078AMedicaidGA

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
I20120713000128 GA Practitioner - Vascular Surgery 7214192459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenthal, Clark and MatsurraGroup PAC ID 8729001938, 7 clinicians
Newnan Vascular Center, LLCGroup PAC ID 7113043167, 5 clinicians

Practice addresses (Care Compare)

1233 Hwy 54 W
Suite 210
Fayetteville, GA 30214-4542
Phone (404) 524-0095

2201 Newnan Crossing Blvd
Suite 200
Newnan, GA 30265-2551
Phone (404) 524-0095

2690 Hwy 34 E
Suite a
Newnan, GA 30265-1330
Phone (678) 423-4100

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as group
Quality
74.66
Promoting interoperability
99
Improvement activities
40
Cost
83.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001164GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC Surgery CurrentSince Feb 28, 2013 Accepting new patients
Rosenthal, Clark and Matsurra CurrentSince Jul 1, 2012 Accepting new patients

Locations

1233 Highway 54 W
Ste 210
Fayetteville, GA 30214
Phone (404) 350-0106

1521 W McIntosh Rd
Griffin, GA 30223
Phone (404) 524-0095

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

2201 Newnan Crossing Blvd E
#200
Newnan, GA 30265

775 Poplar Rd
Ste 260
Newnan, GA 30265
Phone (404) 524-0095

2690 Highway 34 E
Ste B
Newnan, GA 30265
Phone (404) 524-0095

2690 Highway 34 E
Ste A
Newnan, GA 30265
Phone (678) 423-4100

2201 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (404) 524-0095

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: james.combs.p53@direct.tenet.nextgenshare.com
  • Direct secure messaging: jcombs145280@cityofhope.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1548418684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 260",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "404-524-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 260",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "404-524-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "JAMES",
        "middle_name": "MOBLEY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "001164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126078A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.