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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANAYO UMERAH M.D.
NPI 1003986761
Family Medicine in Sandy Springs, GA

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1150 HAMMOND DR STE 310, SANDY SPRINGS, GA 30328(678) 802-5780(770) 557-3568 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, May 9, 2024, Jul 11, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Anayo Umerah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANAYO UMERAH M.D. (NPI 1003986761) is an individual family medicine provider in Sandy Springs, Georgia, licensed in Georgia (63745) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1003986761
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANAYO UMERAHCredential: M.D.
Location Address1150 HAMMOND DR STE 310Sandy Springs, GA 30328-7500
Mailing AddressPo Box 117598Atlanta, GA 30368-7598 · (770) 442-1911 · Fax (770) 442-0306
Phone(678) 802-5780
Fax(770) 557-3568
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 8, 20264 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1003986761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 63745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1150 HAMMOND DR STE 310, Sandy Springs, GA 30328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anayo Umerah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608896295
PECOS Enrollment IDI20101014000945
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Anayo Umerah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Medical Group, P.C.
11 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911
Middle Georgia Family Rehab
94 mi
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
100 HAMILTON POINTE DRIVE, 115
Byron, GA 31008
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1245672724 (478) 538-1436
Theoria Medical
593 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Midwest M PLLC
593 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
272 services187 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services29 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH CURRIE NP
Internal Medicine
1150 HAMMOND DR STE 310
ATLANTA, GA 30328
Fulton County (678) 802-5780
JAIEL LOCKETT PA-C
Physician Assistant
1150 HAMMOND DR STE 310
ATLANTA, GA 30328
Fulton County (678) 802-5780
KANDELOREA STARR PIERCE APRN, NP-C
Nurse Practitioner (Family)
1150 HAMMOND DR STE 310
ATLANTA, GA 30328
Fulton County (678) 802-5780
DR. LIORA JUDITH FARBER M.D.
Internal Medicine
1150 HAMMOND DR STE 310
ATLANTA, GA 30328
Fulton County (678) 802-5780

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 Anayo Umerah's NPI number?

The NPI number for Anayo Umerah is 1003986761. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Anayo Umerah located?

Anayo Umerah practices at 1150 Hammond Dr Ste 310, Sandy Springs, GA 30328. The listed phone number is (678) 802-5780.

What is Anayo Umerah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anayo Umerah enrolled in Medicare?

Yes. Anayo Umerah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anayo Umerah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anayo Umerah reassigns Medicare benefits to 4 organizations: Southeast Medical Group, P.C. (Alpharetta, GA), Middle Georgia Family Rehab (Byron, GA), Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest M PLLC (Novi, MI). 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 Anayo Umerah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anayo Umerah accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Anayo Umerah 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.

Is Anayo Umerah affiliated with any hospitals?

According to CMS data, Anayo Umerah is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Anayo Umerah was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.