GINA TOULON NP
NPI 1205182102
Nurse Practitioner - Adult Health in Atlanta, GA

Active since July 28, 2012PECOS EnrolledAccepts Medicare Assignment
85.02/100
CMS Quality Rating
59 EXECUTIVE PARK S, ATLANTA, GA 30329(404) 778-3350 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gina Toulon Np NPPES

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

GINA TOULON NP (NPI 1205182102) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN241097) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2019).

NPPES Registry Identity

NPI1205182102
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGINA TOULONCredential: NP
Location Address59 EXECUTIVE PARK SAtlanta, GA 30329-2208
Mailing Address5521 Stone Cutter DrStonecrest, GA 30038-1254 · (631) 278-1819
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2019
Enumeration DateJuly 28, 2012
Last NPPES UpdateDecember 13, 2019
NPI 1205182102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN241097
59 EXECUTIVE PARK S, Atlanta, GA 30329

Other Identifiers 1

Other00186619NY · Agency

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

Gina Toulon 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 ID6204264112
PECOS Enrollment IDI20200306001608
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 2

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 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.
33 services24 patients
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.
31 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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.

85.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.43
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Specialist
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Pediatrics (Sports Medicine)
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Physical Medicine & Rehabilitation
59 EXECUTIVE PARK S, #2000
ATLANTA, GA 30329
Physician Assistant
59 EXECUTIVE PARK S, STE 3000
ATLANTA, GA 30329
Student in an Organized Health Care Education/Training Program
59 EXECUTIVE PARK S
ATLANTA, GA 30329
59 EXECUTIVE PARK S, SUITE 1000
ATLANTA, GA 30329
Specialist/Technologist (Athletic Trainer)
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Radiology (Diagnostic Radiology)
59 EXECUTIVE PARK S, 4TH FLOOR SUITE 4009
ATLANTA, GA 30329

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 Gina Toulon's NPI number?

The NPI number for Gina Toulon is 1205182102. It was assigned to this individual provider in the NPPES registry on July 28, 2012.

Where is Gina Toulon located?

Gina Toulon practices at 59 Executive Park S, Atlanta, GA 30329. The listed phone number is (404) 778-3350.

What is Gina Toulon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gina Toulon enrolled in Medicare?

Yes. Gina Toulon 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 Gina Toulon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gina Toulon 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 Gina Toulon was last updated on December 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.