Active NPI
Adam Joseph Pettigrew, M.D.
- Infectious Disease Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 79985
- Practice address
- 11660 Alpharetta Hwy Ste 430
Roswell, GA 30076 - Phone
- (770) 255-1069
- NPI assigned
- Mar 21, 2013
- Last updated
- Jul 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 79985 | GA | Primary |
Addresses
Primary practice location
11660 Alpharetta Hwy Ste 430
Roswell, GA 30076
Mailing address
11660 Alpharetta Hwy Ste 430
Roswell, GA 30076-3880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11660 Alpharetta Hwy
Suite 430
Roswell, GA 30076-3880
Phone (770) 255-1069
Hospital & facility affiliations
- Amedisys Northwest Home Health
- Northside Hospital Cherokee
- Piedmont Mountainside Hospital Inc
- Wellstar North Fulton Medical Center
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.87 of 100
- Quality
- 72.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 210 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79985 | GA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Services of Georgia PC | Infectious Disease | Current | Accepting new patients |
| Infectious Disease Services of Ga | Past | Accepting new patients |
Locations
11660 Alpharetta Hwy
Ste 430
Roswell, GA 30076
Phone (770) 255-1069
Interoperability endpoints
- drpettigrew@idsga.medentdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Roswell, GA
- NPI 1831236728
-
- Adult Health Nurse Practitioner
- Roswell, GA
- NPI 1730555269
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Northwest Home Health
- Home Health Agency
- Jasper, GA
- NPI 1588612188
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Piedmont Mountainside Hospital
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
dba WellStar North Fulton Hospital
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1902148539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11660 ALPHARETTA HWY STE 430",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11660 ALPHARETTA HWY STE 430",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-255-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIGREW",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "79985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.