MS. MYLENE P. JAMES MSN, OCN, NP
NPI 1184931313
Nurse Practitioner in Decatur, GA

Active since September 09, 2010PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
2712 LAWRENCEVILLE HWY, DECATUR, GA 30033(770) 496-5555(770) 939-2887 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2020, May 7, 2020 (2 updates tracked since 2020).

About Ms. Mylene P. James Msn, Ocn, Np NPPES

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

MS. MYLENE P. JAMES MSN, OCN, NP (NPI 1184931313) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (RN106466) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184931313
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MYLENE P. JAMESCredential: MSN, OCN, NP
Location Address2712 LAWRENCEVILLE HWYDecatur, GA 30033-2512
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (770) 496-5555 · Fax (770) 939-2887
Fax(770) 939-2887
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 9, 2010
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
NPI 1184931313 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 · RN106466
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.

2712 LAWRENCEVILLE HWY, Decatur, GA 30033

Other Names 1

Former Name (1)Ms. Mylene Perez

Other Identifiers 3

Medicaid920359537GGA
Medicaid920359537FGA
Other202I502090GA · Medicare Ptan

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

Ms. Mylene P. James Msn, Ocn, Np 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 ID4082801923
PECOS Enrollment IDI20101208000016
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 30033 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.

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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Hematology & Oncology)
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Physician Assistant
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Social Worker (Clinical)
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Nurse Practitioner
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Pharmacist (Oncology)
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Internal Medicine (Hematology & Oncology)
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Physician Assistant
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033
Internal Medicine (Hematology & Oncology)
2712 LAWRENCEVILLE HWY
DECATUR, GA 30033

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 Mylene James's NPI number?

The NPI number for Mylene James is 1184931313. It was assigned to this individual provider in the NPPES registry on September 9, 2010. The provider is also known as Ms. Mylene Perez.

Where is Mylene James located?

Mylene James practices at 2712 Lawrenceville Hwy, Decatur, GA 30033. The listed phone number is (770) 496-5555.

What is Mylene James's specialty?

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

Is Mylene James enrolled in Medicare?

Yes. Mylene James 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 Mylene James accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mylene James 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 Mylene James was last updated on August 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.