JAMES F ZUMSTEIN MD LLC
Accepted Insurance for NPI 1013021021
Family Medicine in Phenix City, AL

Active since August 18, 2006CLIA 01D1011377 · Microscopy

1810 STADIUM DRIVE, SUITE 230, PHENIX CITY, AL 36867(334) 664-0219(334) 664-0224 Get Directions

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

Insurance plans that include James F Zumstein Md

No Alabama Marketplace plan lists this practice. Ambetter Health includes it in 4 plans sold in Georgia.

Listed inGeorgia

Call before you book: insurer directories can be out of date, so call the office at (334) 664-0219 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

4 plans · 2026 plan year

Listed in other states 4 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Georgia

4 plans · HMO

Deductible $2,000 to $6,000

Gwinnett Clinic SELECT network · 2 plans · Preferred tier

Standard Gwinnett Clinic SELECT Gold HMOHMOGold$2,00070893GA0110001

Standard Gwinnett Clinic SELECT Silver HMOHMOSilver$6,00070893GA0110002

Plus SELECT network · 2 plans · Preferred tier

Standard Plus SELECT Gold HMOHMOGold$2,00070893GA0070014

Standard Plus SELECT Silver HMOHMOSilver$6,00070893GA0070013

Questions about insurance at James F Zumstein Md

What insurance does James F Zumstein Md take?

No Alabama Marketplace plan lists this practice. Ambetter Health includes it in 4 plans sold in Georgia. Call the office at (334) 664-0219 to confirm your plan before booking.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Ambetter Health: Oct 14, 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Georgia. No document links.	Plan year 2026, Jun 3, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.