MILTONIA M WOLUCHEM MD
NPI 1124086020
Internal Medicine in Morrow, GA

Q: What is Miltonia Woluchem's NPI number?

The NPI number for Miltonia Woluchem is 1124086020. It was assigned to this individual provider in the NPPES registry on May 2, 2006. The provider is also known as Miltonia Harvey.

Q: What is Miltonia Woluchem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miltonia Woluchem was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

1331 MOUNT ZION RD, MORROW, GA 30260(770) 629-3217(404) 666-0085 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2025, Feb 11, 2020 (2 updates tracked since 2020).

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About Miltonia M Woluchem Md NPPES

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

MILTONIA M WOLUCHEM MD (NPI 1124086020) is an individual internal medicine provider in Morrow, Georgia, licensed in Georgia (76541) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Wright State University Boonshoft School Of Medicine (1991).

NPPES Registry Identity

NPI1124086020

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMILTONIA M WOLUCHEMCredential: MD

Location Address1331 MOUNT ZION RDMorrow, GA 30260-2357

Mailing Address1331 Mount Zion RdMorrow, GA 30260-2357 · (770) 629-3217 · Fax (404) 666-0085

Phone(770) 629-3217

Fax(404) 666-0085

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1991

Enumeration DateMay 2, 2006

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1124086020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 76541✔ Licensed in NY · 196867

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.

1331 MOUNT ZION RD, Morrow, GA 30260

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Other Names 1

Former Name (1)Miltonia Harvey

Secondary Practice Location 1

Location 12561 Lac de Ville Blvd, Suite 202Rochester, NY 14618 · Phone (585) 244-7330 · Fax (585) 244-6958

Other Identifiers 6

Other619687-6WNY · Workers Comp #

Other051101000018NY · Fidelis Care #

Other0414039NY · Iha #

Other9250NY · Sidney Hillman #

OtherMDH910NY · Preferred Care #

OtherP010196867NY · Blue Choice #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Miltonia M Woluchem 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 ID3971581992

PECOS Enrollment IDI20180613003323

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.

Medicare Billing Reassignments

Medicare enrollment records show Miltonia Woluchem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southside Medical Center, Inc.

11 mi

Federally Qualified Health Center (FQHC)

1046 RIDGE AVE SW
Atlanta, GA 30315

Reassigned Medicare billing, Georgia enrollment
90 clinicians in this Medicare group

NPI 1235123993 (404) 688-1350

Pmr Georgia Holding, LLC

582 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Georgia enrollment
65 clinicians in this Medicare group

NPI 1609329630 (305) 831-4760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30260 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

4%73 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

73%64 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

62%73 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

93%96 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

20%86 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

74%47 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

DR. EVELYN CAMPBELL-BAYAAN M.D.

Family Medicine