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EMILY S CUMMINS NP-C
NPI 1205078730
Nurse Practitioner - Family in Jasper, GA

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
68.54/100
CMS Quality Rating
1101 OLD PHILADELPHIA RD STE G100, JASPER, GA 30143(678) 971-4167(706) 253-7060 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emily S Cummins Np-c NPPES

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

EMILY S CUMMINS NP-C (NPI 1205078730) is an individual family provider in Jasper, Georgia, licensed in Georgia (APRN-NP149914) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Murray, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1205078730
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY S CUMMINSCredential: NP-C
Location Address1101 OLD PHILADELPHIA RD STE G100Jasper, GA 30143-4044
Mailing Address1101 Old Philadelphia Rd # G100Jasper, GA 30143-4044 · (678) 971-4167 · Fax (706) 253-7060
Phone(678) 971-4167
Fax(706) 253-7060
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 30, 2009
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1205078730 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 · APRN-NP149914
1101 OLD PHILADELPHIA RD STE G100, Jasper, GA 30143
Open in Google Maps ↗

Accepted Insurance

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

Emily S Cummins Np-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 ID3678619228
PECOS Enrollment IDI20091013000071
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,377 services375 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
928 services365 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
339 services162 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
261 services142 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.
225 services161 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
102 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30143 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

68.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.11
Promoting Interoperability95
Improvement Activities40
Cost19.19

Reported Quality Measures

Breast Cancer Screening
73%119 patients4/55-star benchmark: 93%
Cervical Cancer Screening
75%20 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%259 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
60%116 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%1,508 patients4/55-star benchmark: 100%
e-Prescribing
97%333 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
59%371 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%403 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
68%336 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%598 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 389 patients
Patients screened: 96% · 389 patients
100%28 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%267 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%57 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 377 patients
Patients totalRate: 13% · 378 patients
13%378 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

SOUTHERN PAIN AND SPINE ASSOCIATES LLC
Pain Medicine (Interventional Pain Medicine)
1101 OLD PHILADELPHIA RD STE G100
JASPER, GA 30143
Pickens County (678) 971-4167
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Durable Medical Equipment & Medical Supplies
1101 OLD PHILADELPHIA RD STE G100
JASPER, GA 30143
Pickens County (678) 971-4167

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 Emily Cummins's NPI number?

The NPI number for Emily Cummins is 1205078730. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Emily Cummins located?

Emily Cummins practices at 1101 Old Philadelphia Rd Ste G100, Jasper, GA 30143. The listed phone number is (678) 971-4167.

What is Emily Cummins's specialty?

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

Is Emily Cummins enrolled in Medicare?

Yes. Emily Cummins 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 Emily Cummins accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Emily Cummins 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 Emily Cummins affiliated with any hospitals?

According to CMS data, Emily Cummins is affiliated with Adventhealth Murray and Union General Hospital.

When was this NPI record last updated?

The NPPES record for Emily Cummins was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.