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DR. MARC ANDRE JEAN-GILLES D.O.
NPI 1255573952
Obstetrics & Gynecology in Lawrenceville, GA

Active since March 27, 2009PECOS Enrolled
601 PROFESSIONAL DR STE 370, LAWRENCEVILLE, GA 30046(678) 869-5145 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2019, Mar 21, 2019, Mar 29, 2017 (3 updates tracked since 2017).

About Dr. Marc Andre Jean-gilles D.o. NPPES

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

DR. MARC ANDRE JEAN-GILLES D.O. (NPI 1255573952) is an individual obstetrics & gynecology provider in Lawrenceville, Georgia, licensed in Georgia (62720) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255573952
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARC ANDRE JEAN-GILLESCredential: D.O.
Location Address601 PROFESSIONAL DR STE 370Lawrenceville, GA 30046-7670
Mailing Address601a Professional Drive, Ste 370Lawrenceville, GA 30046 · (678) 869-5145 · Fax (678) 869-5148
Phone(678) 869-5145
Sole ProprietorYes
Enumeration DateMarch 27, 2009
Last NPPES UpdateDecember 10, 20193 updates tracked since enumeration
✔ NPI 1255573952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in GA · 62720✔ Licensed in PA · OTO11290
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 PROFESSIONAL DR STE 370, Lawrenceville, GA 30046
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Andre Jean-gilles D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Marc Jean-gilles reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abundant Life Healthcare
Same address
Obstetrics & Gynecology
601 A PROFESSIONAL DR STE 370
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
NPI 1679875173 (678) 869-5145
Gwinnett Physician Group, LLC
0.3 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535
Northside Surgical Professional Services LLC
20 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
Hospital Authority Of The City Of Bainbridge And Decatur County
213 mi
Multi-Specialty
1500 E SHOTWELL ST
Bainbridge, GA 39819
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
NPI 1053388256 (229) 246-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

THYRA ISELA BUCHANAN FNP-BC
Nurse Practitioner (Family)
601 PROFESSIONAL DR STE 370
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 869-5145

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 Marc Jean-gilles's NPI number?

The NPI number for Marc Jean-gilles is 1255573952. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Marc Jean-gilles located?

Marc Jean-gilles practices at 601 Professional Dr Ste 370, Lawrenceville, GA 30046. The listed phone number is (678) 869-5145.

What is Marc Jean-gilles's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marc Jean-gilles enrolled in Medicare?

Yes. Marc Jean-gilles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marc Jean-gilles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Jean-gilles reassigns Medicare benefits to 4 organizations: Abundant Life Healthcare (Lawrenceville, GA), Gwinnett Physician Group, LLC (Lawrenceville, GA), Northside Surgical Professional Services LLC (Atlanta, GA) and Hospital Authority Of The City Of Bainbridge And Decatur County (Bainbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Jean-gilles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Jean-gilles accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Marc Jean-gilles 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 Marc Jean-gilles was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.