1. Home
  2. Directory
  3. Georgia
  4. Forest Park
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 18, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Resurgia Health Solutions PC
11 mi
Internal Medicine
1100 PEACHTREE ST NE, SUITE 200
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1851702153 (404) 445-5304
Community Care Health Network LLC
223 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 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
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
THE CHILDREN'S & ADOLESCENT MEDICAL CENTER PC
Pediatrics (Adolescent Medicine)
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
FAHIMOT OYINLOLA FADUYILE M.D.
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
AMISA JIWANI APRN
Nurse Practitioner (Pediatrics)
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
DALIANNYS MORALES MENDEZ M.D.
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
ABIGAIL KAMISHLIAN M.D.
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
CLAUDINE MOMA MALONGA DNP, C-PNP-PC
Nurse Practitioner (Pediatrics)
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636
DR. CRYSTAL MERCIA MALVOISIN M.D.
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Clayton County (404) 366-3636

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 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.

Where is Antoinette Palomino located?

Antoinette Palomino practices at 4905 Courtney Dr, Forest Park, GA 30297. The listed phone number is (404) 366-3636.

What is Antoinette Palomino's specialty?

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

Is Antoinette Palomino enrolled in Medicare?

Yes. Antoinette Palomino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Antoinette Palomino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antoinette Palomino reassigns Medicare benefits to 2 organizations: Resurgia Health Solutions PC (Atlanta, GA) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antoinette Palomino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antoinette Palomino accept?

Health plans from Blue Cross and Blue Shield of Texas list Antoinette Palomino 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 Antoinette Palomino was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.