Doctor profile · Federal record
Dr. Godly Jack, MD
Interventional Cardiology Physician (CMS: Interventional Cardiology) · Cardiovascular Disease Physician · Cartersville, GA
- NPI 1114452588
- Accepts Medicare
- MIPS 80.9 / 100 · 2023
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
150 Gentilly Blvd
Cartersville, GA 301208522
(470) 490-6670
fax (770) 382-5762 - Mailing address
-
221 Technology Pkwy Nw
Rome, GA 301651369
Credentials & registration
- NPI registered
- April 2017 — 9 yrs on file
- Profile last updated
- June 20, 2024
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207RI0011X — NUCC code
- State license (1)
- Georgia #98756
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114452588. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
26
Distinct HCPCS
1
Medicare allowed
$3,621
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 26 | 26 | $139 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 76. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$683
Transactions
15
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 2 | $244.17 | |
| HEARTFLOW, INC. | 2 | $162.03 | |
| ShockWave Medical, Inc | 1 | $48.19 | |
| Teleflex LLC | 1 | $43.45 | |
| United Therapeutics Corporation | 1 | $30.16 | |
| Novartis Pharmaceuticals Corporation | 1 | $26.34 | |
| Abbott Laboratories | 1 | $24.83 | |
| AngioDynamics, Inc. | 1 | $21.04 | |
| Actelion Pharmaceuticals US, Inc. | 1 | $19.05 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $17.77 | |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 1 | $17.24 | |
| Lexicon Pharmaceuticals, Inc. | 1 | $15.23 | |
| Kiniksa Pharmaceuticals International, plc | 1 | $13.51 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Godly Jack's medical specialty?
Dr. Godly Jack practices Interventional Cardiology Physician in Cartersville, GA.
Where does Dr. Godly Jack practice?
Dr. Godly Jack practices at 150 Gentilly Blvd, Cartersville, GA 301208522. Office phone: 4704906670.
What is Dr. Godly Jack's NPI?
Dr. Godly Jack's National Provider Identifier (NPI) is 1114452588, issued by NPPES.
Does Dr. Godly Jack accept Medicare assignment?
Yes. Dr. Godly Jack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Godly Jack commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.