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DR. KAREN NICOLE DUVALL D.O.
NPI 1235499724
Family Medicine in Johns Creek, GA

Active since May 18, 2012PECOS EnrolledAccepts Medicare Assignment
10475 MEDLOCK BRIDGE RD, SUITE 815, JOHNS CREEK, GA 30097(678) 990-4828 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Karen Nicole Duvall D.o. NPPES

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

DR. KAREN NICOLE DUVALL D.O. (NPI 1235499724) is an individual family medicine provider in Johns Creek, Georgia, licensed in Georgia (068149) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1235499724
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAREN NICOLE DUVALLCredential: D.O.
Location Address10475 MEDLOCK BRIDGE RD, SUITE 815Johns Creek, GA 30097-4433
Mailing Address10475 Medlock Bridge Rd, Suite 815Johns Creek, GA 30097-4433 · (678) 990-4828
Phone(678) 990-4828
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateMay 18, 2012
Last NPPES UpdateAugust 2, 2012
✔ NPI 1235499724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 068149✔ Licensed in FL · OS11048
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.
10475 MEDLOCK BRIDGE RD, Johns Creek, GA 30097
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen Nicole Duvall D.o. 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 ID5799931473
PECOS Enrollment IDI20120813000309
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.
180 services82 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
162 services89 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.
103 services68 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.
53 services53 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
51 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
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

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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 20

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

HEALTHSOURCE CHIROPRACTIC OF JOHNS CREEK
Chiropractor
10475 MEDLOCK BRIDGE RD, SUITE #810
DULUTH, GA 30097
Gwinnett County (678) 957-0266
SAORI MARUYAMA, PH.D. LLC
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
JOHNS CREEK, GA 30097
Gwinnett County (678) 935-9567
MORGAN LEIGH RICHBURG JOHNSON APRN
Nurse Practitioner
10475 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (678) 224-8686
DIANE C. SPERRY, PH.D., LLC
Clinic/Center (Adult Mental Health)
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
JOHNS CREEK, GA 30097
Gwinnett County (678) 935-9567
DR. LORNA L. BENBENISTY PH.D.
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, SUITE 315
JOHNS CREEK, GA 30097
Gwinnett County (678) 935-9567
SAORI MARUYAMA PH.D.
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
JOHNS CREEK, GA 30097
Gwinnett County (678) 935-9567
STEVE RICCI D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10475 MEDLOCK BRIDGE RD, SUITE 114
JOHNS CREEK, GA 30097
Gwinnett County (678) 417-9848
DR. SHELLEY A WEST D.C.
Chiropractor
10475 MEDLOCK BRIDGE RD, SUITE 810
DULUTH, GA 30097
Gwinnett County (678) 957-0266

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 Karen Duvall's NPI number?

The NPI number for Karen Duvall is 1235499724. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Karen Duvall located?

Karen Duvall practices at 10475 Medlock Bridge Rd Suite 815, Johns Creek, GA 30097. The listed phone number is (678) 990-4828.

What is Karen Duvall's specialty?

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

Is Karen Duvall enrolled in Medicare?

Yes. Karen Duvall 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 Karen Duvall 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 Karen Duvall 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 Karen Duvall affiliated with any hospitals?

According to CMS data, Karen Duvall is affiliated with Northside Hospital Forsyth, Northside Hospital, Emory Johns Creek Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Karen Duvall was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.