DR. CINDY PRATT MD
NPI 1114990595
Nurse Practitioner in Douglasville, GA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
8820 HOSPITAL DR, DOUGLASVILLE, GA 30134(770) 947-3000(770) 947-3012 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cindy Pratt Md NPPES

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

DR. CINDY PRATT MD (NPI 1114990595) is an individual nurse practitioner in Douglasville, Georgia, licensed in Georgia (RN066085) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1114990595
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. CINDY PRATTCredential: MD
Location Address8820 HOSPITAL DRDouglasville, GA 30134-2266
Mailing Address8820 Hospital DrDouglasville, GA 30134-2266 · (770) 947-3000 · Fax (770) 947-3012
Fax(770) 947-3012
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 15, 2011
NPI 1114990595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN066085
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8820 HOSPITAL DR, Douglasville, GA 30134

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. Cindy Pratt 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 ID2264511484
PECOS Enrollment IDI20080429000829
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 4

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.
224 services189 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims21 services$5.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Family Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Nurse Practitioner (Family)
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134

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 Cindy Pratt's NPI number?

The NPI number for Cindy Pratt is 1114990595. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Cindy Pratt located?

Cindy Pratt practices at 8820 Hospital Dr, Douglasville, GA 30134. The listed phone number is (770) 947-3000.

What is Cindy Pratt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cindy Pratt enrolled in Medicare?

Yes. Cindy Pratt 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 Cindy Pratt accept?

Health plans from Alliant Health Plans, Inc. list Cindy Pratt 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.

When was this NPI record last updated?

The NPPES record for Cindy Pratt was last updated on July 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.