Dr Otis Samuel Powell Jr, MD - Medicare Family Practice in Atlanta, GA

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Dr Otis Samuel Powell Jr, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Neesam Company Incorporated, Four Corners Primary Care Centers Inc and his current practice location is 777 Cleveland Ave Sw Ste 500, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 755-2291.

Dr Otis Samuel Powell Jr is licensed to practice in Georgia (license number 025814) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285654301.

Contact Information

Dr Otis Samuel Powell Jr, MD
777 Cleveland Ave Sw Ste 500,
Atlanta, GA 30315-7115
(404) 755-2291
(404) 755-5377

Map and Direction




Physician's Profile

Full NameDr Otis Samuel Powell Jr
GenderMale
SpecialityFamily Practice
Experience42 Years
Location777 Cleveland Ave Sw Ste 500, Atlanta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Otis Samuel Powell Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1285654301
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 11/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103804554
  • Enrollment ID: I20040713000109

Medical Identifiers

Medical identifiers for Dr Otis Samuel Powell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285654301NPI-NPPES
00309845GMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 025814 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Otis Samuel Powell Jr allows following entities to bill medicare on his behalf.
Entity NameClinch County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478851
PECOS PAC ID: 7416849922
Enrollment ID: O20040329000922
Entity NameNeesam Company Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376952069
PECOS PAC ID: 0547580201
Enrollment ID: O20150520000447
Entity NameFamily Wellness Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225489354
PECOS PAC ID: 4587932348
Enrollment ID: O20170620000988
Entity NameLakewood Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346701216
PECOS PAC ID: 9234507781
Enrollment ID: O20221115001580

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Otis Samuel Powell Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Otis Samuel Powell Jr, MD
777 Cleveland Ave Sw Ste 500,
Atlanta, GA 30315-7115

Ph: (404) 755-2291		Dr Otis Samuel Powell Jr, MD
777 Cleveland Ave Sw Ste 500,
Atlanta, GA 30315-7115

Ph: (404) 755-2291

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.