MR. JOHN SCARBOROUGH ACNPC-AG
NPI 1023542925
Nurse Practitioner - Critical Care Medicine in Marietta, GA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060(770) 422-1372 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John Scarborough Acnpc-ag NPPES

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

MR. JOHN SCARBOROUGH ACNPC-AG (NPI 1023542925) is an individual critical care medicine provider in Marietta, Georgia, licensed in Georgia (RN220352) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023542925
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameMR. JOHN SCARBOROUGHCredential: ACNPC-AG
Location Address55 WHITCHER ST NE STE 160Marietta, GA 30060-1160
Mailing Address3144 Brookeview Ln NwKennesaw, GA 30152-2708 · (678) 357-7628
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2017
NPI 1023542925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in GA · RN220352
55 WHITCHER ST NE STE 160, Marietta, GA 30060

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John Scarborough Acnpc-ag 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 ID2961770003
PECOS Enrollment IDI20170614001810
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.

Areas of Expertise CMS Part B claims 2

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.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
17 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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 20

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

Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Nurse Practitioner (Adult Health)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060

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 John Scarborough's NPI number?

The NPI number for John Scarborough is 1023542925. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is John Scarborough located?

John Scarborough practices at 55 Whitcher St NE Ste 160, Marietta, GA 30060. The listed phone number is (770) 422-1372.

What is John Scarborough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is John Scarborough enrolled in Medicare?

Yes. John Scarborough 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.

What insurance does John Scarborough 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 John Scarborough 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 John Scarborough affiliated with any hospitals?

According to CMS data, John Scarborough is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for John Scarborough was last updated on April 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.