AMY THEOBALD COLON PA-C
NPI 1164988143
Physician Assistant - Medical in Alpharetta, GA

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3400C OLD MILTON PKWY STE 270, ALPHARETTA, GA 30005(770) 442-1911 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2020, Feb 18, 2020, Feb 14, 2019 (3 updates tracked since 2019).

About Amy Theobald Colon Pa-c NPPES

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

AMY THEOBALD COLON PA-C (NPI 1164988143) is an individual medical provider in Alpharetta, Georgia, licensed in Georgia (9156) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Wellstar North Fulton Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164988143
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY THEOBALD COLONCredential: PA-C
Location Address3400C OLD MILTON PKWY STE 270Alpharetta, GA 30005-4438
Mailing Address3400 Old Milton Pkwy Ste C270Alpharetta, GA 30005-4414 · (704) 421-9117
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 14, 2019
Last NPPES UpdateAugust 27, 20203 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
NPI 1164988143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 9156
3400C OLD MILTON PKWY STE 270, Alpharetta, GA 30005

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

Amy Theobald Colon Pa-c 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 ID3072844737
PECOS Enrollment IDI20200507001901
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services53 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

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

Other Providers at the Same Location NPPES 3

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

Nutritionist (Nutrition, Education)
3400C OLD MILTON PKWY STE 270
ALPHARETTA, GA 30005
Physician Assistant (Medical)
3400C OLD MILTON PKWY STE 270
ALPHARETTA, GA 30005
Family Medicine
3400C OLD MILTON PKWY STE 270
ALPHARETTA, GA 30005

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 Amy Colon's NPI number?

The NPI number for Amy Colon is 1164988143. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Amy Colon located?

Amy Colon practices at 3400C Old Milton Pkwy Ste 270, Alpharetta, GA 30005. The listed phone number is (770) 442-1911.

What is Amy Colon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amy Colon enrolled in Medicare?

Yes. Amy Colon 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 Amy Colon accept?

Health plans from Alliant Health Plans, Inc. list Amy Colon 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.

Is Amy Colon affiliated with any hospitals?

According to CMS data, Amy Colon is affiliated with Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Amy Colon was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.