MR. GARY SYDNEY KOECH III AGACNP-BC
NPI 1104463819
Nurse Practitioner - Acute Care in Atlanta, GA
About Mr. Gary Sydney Koech Iii Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARY SYDNEY KOECH III AGACNP-BC (NPI 1104463819) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (APRN-NP292038) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Gary Sydney Koech Iii Agacnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Gary Koech reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Gary Koech's NPI number?
The NPI number for Gary Koech is 1104463819. It was assigned to this individual provider in the NPPES registry on December 2, 2019.
Where is Gary Koech located?
Gary Koech practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.
What is Gary Koech's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Gary Koech enrolled in Medicare?
Yes. Gary Koech 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 organization bills Medicare for Gary Koech's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Koech reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The 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 Gary Koech's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gary Koech affiliated with any hospitals?
According to CMS data, Gary Koech is affiliated with Emory University Hospital.
When was this NPI record last updated?
The NPPES record for Gary Koech was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Gary Sydney Koech III, AGACNP-BC · NPI 1104463819
Acute Care physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since December 2, 2019.
## Identity
- **NPI:** 1104463819 (Entity type: Individual)
- **Enumerated:** December 2, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN-NP292038 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1364 CLIFTON RD NE, Atlanta, GA 30322-1059
- **Phone:** (404) 712-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104463819) · Data from the CMS NPPES public registry.