DR. NICOLE LAUREN GILREATH MD
NPI 1023637576
Internal Medicine in Rome, GA

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
304 TURNER MCCALL BLVD, ROME, GA 30165(706) 509-5000 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicole Lauren Gilreath Md NPPES

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

DR. NICOLE LAUREN GILREATH MD (NPI 1023637576) is an individual internal medicine provider in Rome, Georgia, licensed in Georgia (95710) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1023637576
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICOLE LAUREN GILREATHCredential: MD
Location Address304 TURNER MCCALL BLVDRome, GA 30165-3003
Mailing Address3788 Westwick Ct NwKennesaw, GA 30152-0277 · (404) 317-5384
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
NPI 1023637576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 95710
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
304 TURNER MCCALL BLVD, Rome, GA 30165

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-0239 · Fax (352) 265-1107

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

Dr. Nicole Lauren Gilreath Md 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 ID3173943735
PECOS Enrollment IDI20230906000221
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
309 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services93 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.
52 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

Other Providers at the Same Location NPPES 7

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

Registered Nurse
304 TURNER MCCALL BLVD
ROME, GA 30165
Emergency Medicine
304 TURNER MCCALL BLVD
ROME, GA 30165
Nurse Practitioner
304 TURNER MCCALL BLVD, THE BREAST CENTER
ROME, GA 30165
Internal Medicine
304 TURNER MCCALL BLVD
ROME, GA 30165
Registered Nurse (Diabetes Educator)
304 TURNER MCCALL BLVD
ROME, GA 30165
Emergency Medicine
304 TURNER MCCALL BLVD
ROME, GA 30165
Dietitian, Registered
304 TURNER MCCALL BLVD
ROME, GA 30165

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 Nicole Gilreath's NPI number?

The NPI number for Nicole Gilreath is 1023637576. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Nicole Gilreath located?

Nicole Gilreath practices at 304 Turner Mccall Blvd, Rome, GA 30165. The listed phone number is (706) 509-5000.

What is Nicole Gilreath's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Gilreath enrolled in Medicare?

Yes. Nicole Gilreath 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 Nicole Gilreath accept?

Health plans from Alliant Health Plans, Inc. list Nicole Gilreath 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 Nicole Gilreath affiliated with any hospitals?

According to CMS data, Nicole Gilreath is affiliated with Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Gilreath was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.