PRITI TRIPATHI
NPI 1245888684
Physician Assistant in Atlanta, GA

Active since August 28, 2019PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-9304 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2022, Mar 8, 2022, Feb 26, 2022 and 1 more (4 updates tracked since 2019).

About Priti Tripathi NPPES

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

PRITI TRIPATHI (NPI 1245888684) is an individual physician assistant in Atlanta, Georgia and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245888684
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRITI TRIPATHI
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 28, 2019
Last NPPES UpdateApril 6, 20224 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1245888684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
80 JESSE HILL JR DR SE, Atlanta, GA 30303

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

Priti Tripathi 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 ID1658750039
PECOS Enrollment IDI20220615000010
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 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.
143 services79 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

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.

Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Priti Tripathi's NPI number?

The NPI number for Priti Tripathi is 1245888684. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Priti Tripathi located?

Priti Tripathi practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-9304.

What is Priti Tripathi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Priti Tripathi enrolled in Medicare?

Yes. Priti Tripathi 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 Priti Tripathi accept?

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

According to CMS data, Priti Tripathi is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Priti Tripathi was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.