Free National NPI Number Registry

Dr. Charles William Pettus

Home >Dr. Charles William Pettus

 

NPI Number Detailed Information

Provider Information:

Name: Dr. Charles William Pettus
Gender: M
Provider License Number If Given: 33675

NPI Information:

NPI: 1912902107
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/15/2005

Last Update Date: 9/13/2010

Reputation Report:

Provider Business Mailing Address:

Address: 20 FRANCIS WAY SUITE 101
Sharpsburg, GA 30277
Phone Number: 7702530611
Fax Number: 7705020521

Provider Business Practice Location Address:

Address: 1267 HIGHWAY 54 W STE 2200
Fayetteville, GA 30214
Phone Number: 7707160051
Fax Number: 7707160087

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: GA

Top Doctors in GA

 

About Dr. Charles William Pettus

Dr. Charles William Pettus (DR. CHARLES WILLIAM PETTUS ) is An Internal Medicine Physician in Fayetteville, GA. The NPI Number for Dr. Charles William Pettus is 1912902107.
The current location address for Dr. Charles William Pettus is 1267 HIGHWAY 54 W STE 2200 Fayetteville, GA 30214 and the contact number is 7702530611 and fax number is 7705020521. The mailing address for Dr. Charles William Pettus is 20 FRANCIS WAY SUITE 101 Sharpsburg, GA 30277- 7707160051 (mailing address contact number - 7702530611).
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Charles William Pettus ?


Answer: The NPI Number for Dr. Charles William Pettus is 1912902107

Where is Dr. Charles William Pettus located?


Answer: Dr. Charles William Pettus is located at 1267 HIGHWAY 54 W STE 2200 Fayetteville, GA 30214.

What is the specialty for Dr. Charles William Pettus ?


Answer: The Specialty of Dr. Charles William Pettus is An Internal Medicine Physician.

Are there any online reviews for Dr. Charles William Pettus ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fayetteville, GA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Charles William Pettus

Number of HCPCS 49
Number of Medicare Beneficiaries 1942
Number of Services 5439
Total Submitted Charge Amount 959388
Total Medicare Allowed Amount 297664.82
Total Medicare Payment Amount 211670.54
Total Medicare Standardized Payment Amount 211145.81
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 49
Number of Medicare Beneficiaries With Medical 1942
Number of Medical Services 5439
Total Medical Submitted Charge Amount 959388
Total Medical Medicare Allowed Amount 297664.82
Total Medical Medicare Payment Amount 211670.54
Total Medical Medicare Standardized Payment Amount 211145.81
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 113
Number of Beneficiaries Age 65 to 74 644
Number of Beneficiaries Age 75 to 84 832
Number of Beneficiaries Age Greater 84 353
Number of Female Beneficiaries 976
Number of Male Beneficiaries 966
Number of Non-Hispanic White Beneficiaries 1600
Number of Black or African American Beneficiaries 286
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 35
Number of Beneficiaries With Medicare & Medicaid Entitlement 187
Number of Beneficiaries With Medicare Only Entitlement 1755
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.26
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.17
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.37
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.47
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.18
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.61
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.09
Average HCC Risk Score of Beneficiaries 1.6724

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Cardiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 11497
Number of Standardized 30-Day Fills 29024.066667
Aggregate Cost Paid for All Claims 1627453.79
Number of Day's Supply for All Claims 865110
Number of Medicare Beneficiaries 1226
Number of Claims, Including Refills, for Beneficiaries Age 65+ 11269
Including Refills, for Beneficiaries Age 65+ 28492.7
Beneficiaries Age 65+ 1598729.55
Number of Day's Supply for All Claims for Beneficaries Age 65+ 849377
Number of Medicare Beneficiaries Age 65+ 1193
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1767
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 9730
Aggregate Cost Paid for Generic Drugs 250407.31
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 5322
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 775776.12
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 6175
Aggregate Cost Paid for Claims Filled by 851677.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1039
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 159251.53
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 10458
by Low-Income Subsidy 1468202.26
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 77.628058728
Number of Beneficiaries Age Less Than 65 33
Number of Beneficiaries Age 65 to 74 388
Number of Beneficiaries Age 75 to 84 566
Number of Female Beneficiaries 591
Number of Male Beneficiaries 635
Number of Non-Hispanic White 1102
Number of Black or African American 94
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 17
Only Entitlement 1142
Average Hierarchical Condition Category 1.4581209638

More Providers in fayetteville , ga

Dennis E Choat
Colon & Rectal Surgery Physician
NPI Number: 1346298213
Address: 1265 HIGHWAY 54 W STE 500B Fayetteville, GA 30214 , Phone: 7707195660
Dawn Leilani Paletta
Medical Physician Assistant
NPI Number: 1902856115
Address: 101 YORKTOWN DR Fayetteville, GA 30214 , Phone: 7704604010
Nancy Ward Allen
Family Nurse Practitioner
NPI Number: 1932159985
Address: 100 GENEVIEVE CT Fayetteville, GA 30215 , Phone: 7704861818
Gwendolyn T Dean
Specialist
NPI Number: 1629028386
Address: 115 SUMNER RD Fayetteville, GA 30214 , Phone: 6784776904
Dr. Loida E. Bonney
Internal Medicine Physician
NPI Number: 1316998982
Address: 745 GLYNN ST S Fayetteville, GA 30214 , Phone: 7707195490
Peachtree Fayette Women'S Specialists
Obstetrics & Gynecology Physician
NPI Number: 1164475703
Address: 1267 HIGHWAY 54 W SUITE 3200 Fayetteville, GA 30214 , Phone: 7706329900
Sara H. Goza
Pediatrics Physician
NPI Number: 1235182361
Address: 101 YORKTOWN DRIVE SUITE 200 Fayetteville, GA 30214 , Phone: 7704604281
Christiana Muntzel
Pediatrics Physician
NPI Number: 1508819582
Address: 101 YORKTOWN DRIVE SUITE 200 Fayetteville, GA 30214 , Phone: 7704604281
Betsy S Horton
Internal Medicine Physician
NPI Number: 1932153780
Address: 745 GLYNN ST S Fayetteville, GA 30214 , Phone: 7707195490
Prof. Suzana Anic
Anesthesiology Physician
NPI Number: 1215981840
Address: 1265 HIGHWAY 54 W STE 103 Fayetteville, GA 30214 , Phone: 6782160771
Dr. Salih O Faldon
Emergency Medicine Physician
NPI Number: 1083668271
Address: 101 BECKETT LN 506 Fayetteville, GA 30214 , Phone: 6788179255
William T Cook
Obstetrics & Gynecology Physician
NPI Number: 1740234780
Address: 1267 HIGHWAY 54 W SUITE 3200 Fayetteville, GA 30214 , Phone: 7706329900
Leger Therapy Services Inc.
Physical Therapy Clinic/Center
NPI Number: 1659327666
Address: 500 W LANIER AVE SUITE 303 Fayetteville, GA 30214 , Phone: 7707168885
Mrs. Jessica Mcafee
Physician Assistant
NPI Number: 1841246691
Address: 1255 HWY 54 WEST Fayetteville, GA 30214 , Phone: 7707160051
Event Medical Services
Land Ambulance
NPI Number: 1750337168
Address: 305 LEE ST Fayetteville, GA 30214 , Phone: 7707195337
Eric W Hoffler
Pediatrics Physician
NPI Number: 1467409458
Address: 735 GLYNN ST S Fayetteville, GA 30214 , Phone: 7704614126
Jamie F Wallace
Pediatrics Physician
NPI Number: 1205883147
Address: 735 GLYNN ST S Fayetteville, GA 30214 , Phone: 7704614126
Tereasa A Ballay
Pediatrics Physician
NPI Number: 1932156874
Address: 735 S GLYNN ST Fayetteville, GA 30214 , Phone: 7704614126
Mr. Miles D Johnson
Family Medicine Physician
NPI Number: 1568419844
Address: 150 FIDDLERS RDG Fayetteville, GA 30214 , Phone: 4046644578
Howard J Silk
Allergy & Immunology Physician
NPI Number: 1912944828
Address: 1240 HIGHWAY 54 W BUILDING 300 SUITE 310 Fayetteville, GA 30214 , Phone: 7709533331
Dauda A Griffin
Child & Adolescent Psychiatry Physician
NPI Number: 1710924998
Address: 101 BECKETT LN SUITE 304 Fayetteville, GA 30214 , Phone: 6785194142
David J Carlson
Certified Registered Nurse Anesthetist
NPI Number: 1326085382
Address: 195 ROXBORO CT Fayetteville, GA 30215 , Phone: 7704616244
Dr. Jamie W Walraven
Emergency Medicine Physician
NPI Number: 1750328738
Address: 105 GOVERNORS SQ SUITE E Fayetteville, GA 30215 , Phone: 6783648414
Dr. Viviana Ines Goldenberg
Family Medicine Physician
NPI Number: 1003853847
Address: 101 BANKS STA KAISER PERMANENTE FAYETTE MEDICAL CENTER Fayetteville, GA 30214 , Phone: 6786103700
George G. Girolami
Physical Therapist
NPI Number: 1508804600
Address: 1275 HIGHWAY 54 W SUITE 200 Fayetteville, GA 30214 , Phone: 7704608609
Orthoatlanta Surgery Center Of Fayetteville, Llc
Ambulatory Surgical Clinic/Center
NPI Number: 1609815075
Address: 1265 HIGHWAY 54 W SUITE 103 Fayetteville, GA 30214 , Phone: 6782160771
Publix Super Markets Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1710926761
Address: 840 GLYNN ST S Fayetteville, GA 30214 , Phone: 6788175420
Geetha Shiva Rao
Radiation Oncology Physician
NPI Number: 1255370375
Address: 1255 HIGHWAY 54 W Fayetteville, GA 30214 , Phone: 7707195850
Publix Super Markets Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1083654552
Address: 108 PAVILION PKWY Fayetteville, GA 30214 , Phone: 7704604106
Advanced Aesthetics Pc
Ambulatory Surgical Clinic/Center
NPI Number: 1962441709
Address: 874 W LANIER AVE STE 110 Fayetteville, GA 30214 , Phone: 7704614000
Dr. Deborah Kay Shepard
Obstetrics & Gynecology Physician
NPI Number: 1427098276
Address: 1279 HIGHWAY 54 W SUITE 220 Fayetteville, GA 30214 , Phone: 7709912200
Dr. Robert William Eichhammer
Optometrist
NPI Number: 1528009586
Address: 128 N PARK DR Fayetteville, GA 30214 , Phone: 7704613060
Therapeutic Radiation Oncology, Pc
Radiation Oncology Physician
NPI Number: 1629019534
Address: 1255 HIGHWAY 54 W Fayetteville, GA 30214 , Phone: 7707195850
Joseph D Giovinco Dpm Pc
Foot & Ankle Surgery Podiatrist
NPI Number: 1366484867
Address: 265 N JEFF DAVIS DR Fayetteville, GA 30214 , Phone: 7707168732
Laura P Bush
Medical Physician Assistant
NPI Number: 1174565022
Address: 450 LANIER AVE WEST Fayetteville, GA 30214 , Phone: 7704608988
Patricia C Purnell
Physician Assistant
NPI Number: 1184667156
Address: 1255 HWY 54 WEST Fayetteville, GA 30214 , Phone: 4046052800
Dr. Joel M Stewart JR.
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
NPI Number: 1447293584
Address: 874 LANIER AVE W SUITE 100 Fayetteville, GA 30214 , Phone: 7707147802
Advanced Physical Therapy Of Fayette
Physical Therapy Clinic/Center
NPI Number: 1447294228
Address: 135 BRANDYWINE BLVD SUITE D Fayetteville, GA 30214 , Phone: 7704606285
Renewal Inc.
Durable Medical Equipment & Medical Supplies
NPI Number: 1154365989
Address: 377 FAYETTE PL Fayetteville, GA 30214 , Phone: 7707199900
Dr. Kimberly Brown
Dentist
NPI Number: 1720022304
Address: 395 N JEFF DAVIS DR STE A Fayetteville, GA 30214 , Phone: 7704600870
Ms. Marilyn Catherine Roberts
Professional Counselor
NPI Number: 1043254527
Address: 500 W LANIER AVE SUITE 508 Fayetteville, GA 30214 , Phone: 6788176600
Georgia Urogynecology, Pc
Gynecology Physician
NPI Number: 1881639110
Address: 1260 HIGHWAY 54 W Fayetteville, GA 30214 , Phone: 7704604644
Ms. Michelle Lee Dupont
Physician Assistant
NPI Number: 1104852078
Address: 1265 HIGHWAY 54 W SUITE 304 Fayetteville, GA 30214 , Phone: 6788174390
Dr. Kenneth J Lazarus
Neurology Physician
NPI Number: 1689602385
Address: 1250 HIGHWAY 54 W STE. 102 Fayetteville, GA 30214 , Phone: 7707192965
Mrs. Karen G Barber
Physical Therapist
NPI Number: 1790713279
Address: 1260 HIGHWAY 54 W SUITE 101 Fayetteville, GA 30214 , Phone: 4043927110
Esohe Osaghae
Community Health Registered Nurse
NPI Number: 1972532612
Address: 185 POINTER RIDGE TRL Fayetteville, GA 30214 , Phone: 8778754370
Matthew M Ralsten
Obstetrics & Gynecology Physician
NPI Number: 1184654394
Address: 1267 HIGHWAY 54 WEST SUITE 3200 Fayetteville, GA 30214 , Phone: 7706329900
Mark Lynn Od & Associates Pc
Eyewear Supplier
NPI Number: 1639101413
Address: 165 PAVILION PKWY Fayetteville, GA 30214 , Phone: 6788174875
Dr. Diliana K Panova
Internal Medicine Physician
NPI Number: 1538191226
Address: 745 SOUTH GLYNN STREET Fayetteville, GA 30214 , Phone: 7707195490
Karin Shah
Speech-Language Pathologist
NPI Number: 1730111667
Address: 500 W LANIER AVE SUITE 702 Fayetteville, GA 30214 , Phone: 7704609421

Dr. charles William pettus in Other Directories

Provider don't have other directory link yet.