ANTOINETTE DENISE PALOMINO APRN
NPI 1174916621
Nurse Practitioner - Family in Forest Park, GA

Q: What is Antoinette Palomino's NPI number?

The NPI number for Antoinette Palomino is 1174916621. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Q: What is Antoinette Palomino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 09, 2015PECOS Enrolled

4905 COURTNEY DR, FOREST PARK, GA 30297(404) 366-3636(404) 362-0808 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Antoinette Denise Palomino Aprn NPPES

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

ANTOINETTE DENISE PALOMINO APRN (NPI 1174916621) is an individual family provider in Forest Park, Georgia, licensed in Georgia (RN202063NP) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174916621

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANTOINETTE DENISE PALOMINOCredential: APRN

Location Address4905 COURTNEY DRForest Park, GA 30297-1427

Mailing Address4905 Courtney DrForest Park, GA 30297-1427

Phone(404) 366-3636

Fax(404) 362-0808

Sole ProprietorNo

Enumeration DateMarch 9, 2015

✔ NPI 1174916621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN202063NP

4905 COURTNEY DR, Forest Park, GA 30297

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antoinette Denise Palomino Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30297 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.

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.

DR. SALMA ELMUBARAK ELKHABIER MD

Pediatrics