Georgia Highlands Medical Services, Inc. - Medicare Primary Care in Cumming, GA

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Georgia Highlands Medical Services, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Cumming, Georgia. The current practice location for Georgia Highlands Medical Services, Inc. is 260 Elm St, Cumming, Georgia. For appointments, you can reach them via phone at (770) 887-1668. The mailing address for Georgia Highlands Medical Services, Inc. is Po Box 307, Cumming, Georgia and phone number is (770) 887-1668.

Georgia Highlands Medical Services, Inc. is licensed to practice in Georgia (license number ). The clinic also participates in the medicare program and its NPI number is 1174529192. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 887-1668.

Contact Information

Georgia Highlands Medical Services, Inc.
260 Elm St
Cumming
GA 30040-2467
(770) 887-1668
(770) 781-9937

Map and Direction


Primary Care Clinic Profile

Full NameGeorgia Highlands Medical Services, Inc.
SpecialityClinic/Center
Location260 Elm St, Cumming, Georgia
Authorized Official Name and PositionTodd Shifflet (CEO)
Authorized Official Contact7708871668
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Georgia Highlands Medical Services, Inc.
Po Box 307
Cumming
GA 30028-0307

Ph: (770) 887-1668		Georgia Highlands Medical Services, Inc.
260 Elm St
Cumming
GA 30040-2467

Ph: (770) 887-1668

NPI Details:

NPI Number1174529192
Provider Enumeration Date06/23/2005
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5890682017
Medicare Enrollment IDO20040302001307

Medical Identifiers

Medical identifiers for Georgia Highlands Medical Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174529192NPI-NPPES
000192574CMedicaidGA
300022400AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Georgia)Primary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Georgia Highlands Medical Services, Inc. acts as a billing entity for following providers:
Provider NameSwapna Madhavan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205880309
PECOS PAC ID: 1557373958
Enrollment ID: I20060630000073
Provider NameHeather S Hardison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801085790
PECOS PAC ID: 3678654779
Enrollment ID: I20080115000393
Provider NameAlice J Philip
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497932040
PECOS PAC ID: 2961560768
Enrollment ID: I20081023000281
Provider NameAngela Y Bolger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134318702
PECOS PAC ID: 1052458395
Enrollment ID: I20091020000136
Provider NameLee H Battle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487621033
PECOS PAC ID: 7315139714
Enrollment ID: I20101004000939
Provider NameNandor Alfonso Kalli
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134197502
PECOS PAC ID: 4486683539
Enrollment ID: I20120921000348
Provider NameDeena Maria Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750657961
PECOS PAC ID: 7214185982
Enrollment ID: I20120921000383
Provider NamePaola Suarez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326221698
PECOS PAC ID: 0042397937
Enrollment ID: I20130403000300
Provider NameAshley Ford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881022309
PECOS PAC ID: 3678700580
Enrollment ID: I20131223001051
Provider NameWilliam Robinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811166705
PECOS PAC ID: 6406983279
Enrollment ID: I20160822001175
Provider NameRussell George Remalia
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1710073507
PECOS PAC ID: 0941245443
Enrollment ID: I20161012001811
Provider NameNazia Moiz Younus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922552124
PECOS PAC ID: 0547558231
Enrollment ID: I20161012002254
Provider NameAngela Duke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407412042
PECOS PAC ID: 7911233044
Enrollment ID: I20190729000560
Provider NameKatrina M Mansmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447793344
PECOS PAC ID: 5597046540
Enrollment ID: I20190930001696
Provider NameRhonda L Dennis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295351294
PECOS PAC ID: 7315358140
Enrollment ID: I20201130000299
Provider NameHailey Gatins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578148292
PECOS PAC ID: 9436567526
Enrollment ID: I20210408001475
Provider NameLinda Kuzhippala
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053725408
PECOS PAC ID: 9032471677
Enrollment ID: I20220126000642
Provider NamePaulina Huynh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477107142
PECOS PAC ID: 4486042801
Enrollment ID: I20220127000220
Provider NameAbigail Wilwant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457003832
PECOS PAC ID: 8224422373
Enrollment ID: I20220307000818
Provider NameErin Shea Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033785431
PECOS PAC ID: 3274911375
Enrollment ID: I20220601002690
Provider NameAngel Enwemadu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316661002
PECOS PAC ID: 2062611866
Enrollment ID: I20221020001403
Provider NameErin Marie Bardonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952016396
PECOS PAC ID: 5193190320
Enrollment ID: I20230331000765
Provider NameWillie Gilbert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861804205
PECOS PAC ID: 8123352143
Enrollment ID: I20230725000690
Provider NameMaryana Kleyn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669049169
PECOS PAC ID: 1355792748
Enrollment ID: I20240110002455

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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.