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PARUL DUTTA MD FACP
NPI 1184289167
Internal Medicine in Newnan, GA

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
2959 SHARPSBURG MCCULLUM RD, NEWNAN, GA 30265(917) 808-3968 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Jun 19, 2023, May 6, 2019 (3 updates tracked since 2019).

About Parul Dutta Md Facp NPPES

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

PARUL DUTTA MD FACP (NPI 1184289167) is an individual internal medicine provider in Newnan, Georgia, licensed in Georgia (92914) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184289167
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePARUL DUTTACredential: MD FACP
Location Address2959 SHARPSBURG MCCULLUM RDNewnan, GA 30265-2297
Mailing Address2959 Sharpsburg Mccullum RdNewnan, GA 30265-2297 · (917) 808-3968
Phone(917) 808-3968
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 6, 2019
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1184289167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 92914
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.
2959 SHARPSBURG MCCULLUM RD, Newnan, GA 30265
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Parul Dutta Md Facp 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 ID8224428115
PECOS Enrollment IDI20220906000695
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

3

Medicare enrollment records show Parul Dutta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pgd PC
Same address
Internal Medicine
2959 SHARPSBURG MCCULLUM RD STE 106
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
NPI 1750238267 (917) 808-3968
Emory Medical Care Foundation Inc
29 mi
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014
Cogent Healthcare Of Georgia PC
68 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
192 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims12 services$21.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims12 services$118.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

TARA CATHERINE MULVANY M.O.T. R/L, CSI
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
SOUTHERN VEIN CARE
Surgery
2959 SHARPSBURG MCCULLUM RD
NEWNAN, GA 30265
Coweta County (770) 683-8346
REBECCA HARRIS M.O.T. R/L
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BLDG. C, STE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
CHERIE OATES-OYAIFO PA
Physician Assistant
2959 SHARPSBURG MCCULLUM RD
NEWNAN, GA 30265
Coweta County (770) 502-2040
DAVID FREEMAN MOT
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BLDG C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
KAREN KINARD BALAZE M.S., O.T.R/L
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
JENNIFER HARRISON M.S.SLP
Speech-Language Pathologist
2959 SHARPSBURG MCCULLUM RD, BLDG C, STE C
NEWNAN, GA 30265
Coweta County (770) 683-0250
ASHLEY THOMPSON M.O.T. R/L
Occupational Therapist
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C
NEWNAN, GA 30265
Coweta County (770) 683-0250

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 Parul Dutta's NPI number?

The NPI number for Parul Dutta is 1184289167. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Parul Dutta located?

Parul Dutta practices at 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265. The listed phone number is (917) 808-3968.

What is Parul Dutta's specialty?

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

Is Parul Dutta enrolled in Medicare?

Yes. Parul Dutta 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.

Which organizations bill Medicare for Parul Dutta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parul Dutta reassigns Medicare benefits to 3 organizations: Pgd PC (Newnan, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Cogent Healthcare Of Georgia PC (Macon, GA). 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 Parul Dutta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parul Dutta accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Parul Dutta 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 Parul Dutta affiliated with any hospitals?

According to CMS data, Parul Dutta is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Parul Dutta was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.