KARLA MARIE GARCIA ORTIZ MD
NPI 1003494865
Family Medicine in Decatur, GA
About Karla Marie Garcia Ortiz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARLA MARIE GARCIA ORTIZ MD (NPI 1003494865) is an individual family medicine provider in Decatur, Georgia, licensed in Georgia (103849) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karla Marie Garcia Ortiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Karla Garcia Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30033
DECATUR, GA 30033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Karla Garcia Ortiz's NPI number?
The NPI number for Karla Garcia Ortiz is 1003494865. It was assigned to this individual provider in the NPPES registry on March 31, 2021.
Where is Karla Garcia Ortiz located?
Karla Garcia Ortiz practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (044) 680-7354.
What is Karla Garcia Ortiz's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Karla Garcia Ortiz enrolled in Medicare?
Yes. Karla Garcia Ortiz is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karla Garcia Ortiz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karla Garcia Ortiz reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karla Garcia Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karla Garcia Ortiz accept?
Health plans from Ambetter Health and Oscar Health list Karla Garcia Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Karla Garcia Ortiz was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Karla Marie Garcia Ortiz, MD · NPI 1003494865
Family Medicine physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1003494865 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 103849 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1670 CLAIRMONT RD, Decatur, GA 30033-4004
- **Phone:** (044) 680-7354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003494865) · Data from the CMS NPPES public registry.