ALAN L PLUMMER M.D.
NPI 1184678104
Internal Medicine - Pulmonary Disease in Atlanta, GA
NPI Status: Active since May 22, 2006
Contact Information
1365 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 778-3261
Fax: (404) 778-4431
- Individual
- Male
- Internal Medicine
- Pulmonary Disease
- PECOS Enrolled
About ALAN PLUMMER
This page provides the complete NPI Profile along with additional information for Alan Plummer, an internist established in Atlanta, Georgia with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1184678104 assigned on May 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 014657 (GA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1184678104
- Provider Name
- ALAN L PLUMMER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1365 CLIFTON RD NE ATLANTA, GA 30322
- Location Phone
- (404) 778-3261
- Location Fax
- (404) 778-4431
- Mailing Address
- 1365 CLIFTON RD NE ATLANTA, GA 30322
- Mailing Phone
- (404) 778-3261
- Mailing Fax
- (404) 778-4431
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2006
- Last Update Date
- 09-17-2008
- Code Navigator
An internist like Alan Plummer is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 014657
- License State
- GA
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000053996B | MEDICAID (05) | GA | |
| D30483 | MEDICARE UPIN (02) | GA |
Medicare Participation & PECOS Enrollment Status
Alan Plummer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30322 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.64
- Minimum New Patient Price $56.84
- Maximum New Patient Price $172.43
- Average New Patient Copayment $32.66
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.1
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.2
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $140.4
- Average Established Patient Copayment $25.05
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $35.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 6 | 7 | 8 | 1 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 7 | 16 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 7 + 1 + 6 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1184678104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457326936 | DR. SURESH SAKKARAI RAMALINGAM MD Individual | Internal Medicine (Medical Oncology) | 1365 CLIFTON RD NE WINSHIP CANCER INSTITUTE ATLANTA, GA 30322 (404) 778-5961 |
| 1174599658 | MARY S CARLTON OD Individual | Optometrist | 1365 CLIFTON RD NE ATLANTA, GA 30322 (608) 829-5247 |
| 1285693283 | DR. GILBERT DAVID GROSSMAN M.D. Individual | Internal Medicine (Pulmonary Disease) | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-7525 |
| 1407816259 | MANUEL ANTONIO ESKILDSEN M.D. Individual | Internal Medicine (Geriatric Medicine) | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-5000 |
| 1700842473 | DR. WILLIAM CLARK SMALL M.D. Individual | Radiology (Body Imaging) | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 712-1868 |
| 1093771586 | C MICHAEL CAWLEY III MD Individual | Neurological Surgery | 1365 CLIFTON RD NE STE B6200 ATLANTA, GA 30322 (404) 778-5770 |
| 1275590069 | HANS E GROSSNIKLAUS MD Individual | Ophthalmology | 1365 CLIFTON RD NE BLDG B ROOM BT428 ATLANTA, GA 30322 (404) 778-4611 |
| 1306803051 | NATIA ESIASHVILI MD Individual | Radiology (Radiation Oncology) | 1365 CLIFTON RD NE SUITE A 1316 ATLANTA, GA 30322 (404) 778-3473 |
| 1033177498 | COLLIN J WEBER MD Individual | Surgery | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-5451 |
| 1962453498 | STEPHANIE KEAL HAWKINS P.A Individual | Physician Assistant | 1365 CLIFTON RD NE SUITE B6168 ATLANTA, GA 30322 (404) 778-3094 |
| 1972554863 | TOBY D GOLDSMITH MD Individual | Psychiatry & Neurology (Psychiatry) | 1365 CLIFTON RD NE SUITE B6100 ATLANTA, GA 30322 (404) 778-5526 |
| 1043264500 | JASON E LIEBZEIT MD Individual | Emergency Medicine | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-5000 |
| 1679527519 | ADAM M KLEIN MD Individual | Otolaryngology | 1365 CLIFTON RD NE BUILDING A ATLANTA, GA 30322 (404) 778-3381 |
| 1104871730 | NELSON M OYESIKU MD Individual | Neurological Surgery | 1365 CLIFTON RD NE STE B6200 ATLANTA, GA 30322 (404) 778-5770 |
| 1588619472 | VANDANA NIYYAR MD Individual | Internal Medicine (Nephrology) | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-7402 |
| 1609821214 | BLAINE E. CRIBBS M.D. Individual | Ophthalmology | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-7402 |
| 1255388948 | OMER KUCUK MD Individual | Internal Medicine (Hematology & Oncology) | 1365 CLIFTON RD NE ATLANTA, GA 30322 (405) 778-5903 |
| 1023055779 | WAYNE B HARRIS MD Individual | Internal Medicine (Hematology & Oncology) | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-5000 |
| 1295773000 | KANDRA L HORNE NP Individual | Nurse Practitioner | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-5000 |
| 1821037136 | CLAIRE REYNOLDS RICE NP Individual | Nurse Practitioner | 1365 CLIFTON RD NE ATLANTA, GA 30322 (404) 778-5778 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184678104, enumerated in the NPI registry as an "individual" on May 22, 2006
The provider is located at 1365 Clifton Rd Ne Atlanta, Ga 30322 and the phone number is (404) 778-3261
The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $130.64 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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