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DR. GRACE BAUGHN KOEHLER MD
NPI 1215564828
Family Medicine in Atlanta, GA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
993 JOHNSON FY RD NE STE 210, ATLANTA, GA 30342(404) 256-1727(404) 252-3591 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Mar 24, 2020 (2 updates tracked since 2020).

About Dr. Grace Baughn Koehler Md NPPES

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

DR. GRACE BAUGHN KOEHLER MD (NPI 1215564828) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (97781) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215564828
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GRACE BAUGHN KOEHLERCredential: MD
Location Address993 JOHNSON FY RD NE STE 210Atlanta, GA 30342-1620
Mailing Address993 Johnson Fy Rd Ne Ste 210Atlanta, GA 30342-1620 · (404) 256-1727 · Fax (404) 252-3591
Phone(404) 256-1727
Fax(404) 252-3591
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 24, 2020
Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1215564828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 97781
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
993 JOHNSON FY RD NE STE 210, Atlanta, GA 30342
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Other Names 1

Former Name (1)Grace Leah Baughn Md

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

Dr. Grace Baughn Koehler Md 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 ID3971926890
PECOS Enrollment IDI20240108003899
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 8

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.
58 services39 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services15 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
21 services21 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
21 services21 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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 5

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

LAUREN BEXLEY ILGENFRITZ FNP-C
Nurse Practitioner (Family)
993 JOHNSON FY RD NE STE 210
ATLANTA, GA 30342
Fulton County (404) 256-1727
MS. MARY HELEN SULLIVAN MSN, FNP-C
Nurse Practitioner (Family)
993 JOHNSON FY RD NE STE 210
ATLANTA, GA 30342
Fulton County (404) 256-1727
BRANDON GIULLIAN PA-C
Physician Assistant
993 JOHNSON FY RD NE STE 210
ATLANTA, GA 30342
Fulton County (404) 256-1727
NISHA BHIKA
Nurse Practitioner (Family)
993 JOHNSON FY RD NE STE 210
ATLANTA, GA 30342
Fulton County (404) 256-1727
MIKAELA ROSE GRAY PA
Physician Assistant
993 JOHNSON FY RD NE STE 210
ATLANTA, GA 30342
Fulton County (404) 256-1727

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 Grace Koehler's NPI number?

The NPI number for Grace Koehler is 1215564828. It was assigned to this individual provider in the NPPES registry on March 24, 2020. The provider is also known as Grace Leah Baughn MD.

Where is Grace Koehler located?

Grace Koehler practices at 993 Johnson Fy Rd NE Ste 210, Atlanta, GA 30342. The listed phone number is (404) 256-1727.

What is Grace Koehler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grace Koehler enrolled in Medicare?

Yes. Grace Koehler 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 Grace Koehler accept?

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

According to CMS data, Grace Koehler is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Grace Koehler was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.