MARY CAROLINE LUMPKIN CFNP
NPI 1144545146
Nurse Practitioner in Rome, GA

Q: What is Mary Lumpkin's NPI number?

The NPI number for Mary Lumpkin is 1144545146. It was assigned to this individual provider in the NPPES registry on April 1, 2010. The provider is also known as Mary Caroline Gillis.

Q: What is Mary Lumpkin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Lumpkin was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 April 01, 2010PECOS Enrolled

85 JOHN MADDOX DRIVE CONNECTOR NW, ROME, GA 30165(762) 235-2990(706) 238-8031 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2020, Feb 7, 2019 (2 updates tracked since 2019).

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About Mary Caroline Lumpkin Cfnp NPPES

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

MARY CAROLINE LUMPKIN CFNP (NPI 1144545146) is an individual nurse practitioner in Rome, Georgia, licensed in Georgia (RN181046) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144545146

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY CAROLINE LUMPKINCredential: CFNP

Location Address85 JOHN MADDOX DRIVE CONNECTOR NWRome, GA 30165-1233

Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000

Phone(762) 235-2990

Fax(706) 238-8031

Sole ProprietorNo

Enumeration DateApril 1, 2010

Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1144545146 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 · RN181046

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.

85 JOHN MADDOX DRIVE CONNECTOR NW, Rome, GA 30165

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Other Names 1

Other Name (5)Mary Caroline Gillis

Other Identifiers 3

Medicaid357325167CGA

Medicaid357325167AGA

Medicaid357325167BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Caroline Lumpkin Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Lumpkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbin Clinic, LLC

0.8 mi

Multi-Specialty

1825 MARTHA BERRY BLVD NW
Rome, GA 30165

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

NPI 1679599088 (762) 235-1470

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 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

4%176 patients1/55-star benchmark: 95%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%2,065 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%258 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%1,133 patients5/55-star benchmark: 97%

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

34%158 patients2/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

97%1,133 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

9%1,133 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

27%1,133 patients

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 80% · 664 patients

Patients physicalActivity: 80% · 664 patients

100%664 patients

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.

TODD RUFUS KELLEY MD

Pediatrics