TEODORO ALBERTO PINEDA PA
NPI 1073134938
Physician Assistant in Snellville, GA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
1700 TREE LN STE 190, SNELLVILLE, GA 30078(470) 387-3010 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Jan 13, 2022 (2 updates tracked since 2022).

About Teodoro Alberto Pineda Pa NPPES

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

TEODORO ALBERTO PINEDA PA (NPI 1073134938) is an individual physician assistant in Snellville, Georgia, licensed in Georgia (10814) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073134938
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTEODORO ALBERTO PINEDACredential: PA
Location Address1700 TREE LN STE 190Snellville, GA 30078-6766
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2021
Enumeration DateMay 1, 2020
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1073134938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 10814
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1700 TREE LN STE 190, Snellville, GA 30078

Secondary Practice Locations 3

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 752-1500
Location 2449 Pleasant Hill Rd NWLilburn, GA 30047-2770 · Phone (770) 674-0501
Location 31211 Sherwood Park Dr NE Ste BGainesville, GA 30501-3444 · Phone (770) 219-4840

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

Teodoro Alberto Pineda Pa 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 ID7012374218
PECOS Enrollment IDI20230602001197
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

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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Cardiovascular Disease)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Interventional Cardiology)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Interventional Cardiology)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Nurse Practitioner (Acute Care)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Family Medicine
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Nurse Practitioner (Adult Health)
1700 TREE LN STE 190
SNELLVILLE, GA 30078

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 Teodoro Pineda's NPI number?

The NPI number for Teodoro Pineda is 1073134938. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Teodoro Pineda located?

Teodoro Pineda practices at 1700 Tree Ln Ste 190, Snellville, GA 30078. The listed phone number is (470) 387-3010.

What is Teodoro Pineda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Teodoro Pineda enrolled in Medicare?

Yes. Teodoro Pineda 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.

Is Teodoro Pineda affiliated with any hospitals?

According to CMS data, Teodoro Pineda is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Teodoro Pineda was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.