ADEN ABATE DESTA
NPI 1265136808
Nurse Practitioner - Family in Austell, GA
About Aden Abate Desta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEN ABATE DESTA (NPI 1265136808) is an individual family provider in Austell, Georgia, licensed in Georgia (283567) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aden Abate Desta 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.
Medicare Billing Reassignments
3Medicare enrollment records show Aden Desta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40207
- Reassigned Medicare billing, Georgia enrollment
- 9 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Georgia enrollment
- 15 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tanner Medical Center - Carrollton
Acute Care Hospitals · Carrollton, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AUSTELL, GA 30106
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 Aden Desta's NPI number?
The NPI number for Aden Desta is 1265136808. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Aden Desta located?
Aden Desta practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.
What is Aden Desta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Aden Desta enrolled in Medicare?
Yes. Aden Desta 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.
Which organizations bill Medicare for Aden Desta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aden Desta reassigns Medicare benefits to 3 organizations: Qofl Services LLC (Louisville, KY), Provider Partners Care Management LP (Columbia, MD) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Aden Desta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aden Desta accept?
Health plans from CareSource (Common Ground Healthcare) list Aden Desta 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 Aden Desta affiliated with any hospitals?
According to CMS data, Aden Desta is affiliated with Tanner Medical Center - Carrollton.
When was this NPI record last updated?
The NPPES record for Aden Desta was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Aden Abate Desta · NPI 1265136808
Family physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1265136808 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 283567 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3950 AUSTELL RD, Austell, GA 30106-1121
- **Phone:** (770) 732-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Qofl Services LLC (NPI 1942554837, Louisville, KY); Provider Partners Care Management LP (NPI 1013348028, Columbia, MD); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1265136808) · Data from the CMS NPPES public registry.