NGUENDAB K GWANYALLA
NPI 1275095291
Emergency Medicine in Atlanta, GA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2022, Apr 1, 2019 (2 updates tracked since 2019).

About Nguendab K Gwanyalla NPPES

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

NGUENDAB K GWANYALLA (NPI 1275095291) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (89932) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1275095291
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNGUENDAB K GWANYALLA
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address530 Piedmont Ave Ne Apt 515Atlanta, GA 30308-4408
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1275095291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 89932
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1364 CLIFTON RD NE, Atlanta, GA 30322

Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 251-8866

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

Nguendab K Gwanyalla 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 ID6406184670
PECOS Enrollment IDI20220428001013
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 Nguendab Gwanyalla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
Emergency Medicine
821 N COBB ST
Milledgeville, GA 31061
  • Reassigned Medicare billing, Georgia enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
1 MEADOWS PKWY
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
865 S 1ST ST
Jesup, GA 31545
  • Reassigned Medicare billing, Georgia enrollment
  • 57 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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
205 services196 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Nguendab Gwanyalla's NPI number?

The NPI number for Nguendab Gwanyalla is 1275095291. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Nguendab Gwanyalla located?

Nguendab Gwanyalla practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Nguendab Gwanyalla's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nguendab Gwanyalla enrolled in Medicare?

Yes. Nguendab Gwanyalla 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 Nguendab Gwanyalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nguendab Gwanyalla reassigns Medicare benefits to 4 organizations: The Bortolazzo Group, LLC (Austell, GA), Baldwin Emergency Group, LLC (Milledgeville, GA), Montgomery Emergency Group, LLC (Vidalia, GA) and Wayne Emergency Group LLC (Jesup, 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 Nguendab Gwanyalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nguendab Gwanyalla accept?

Health plans from Oscar Health and Oscar Insurance Company list Nguendab Gwanyalla 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 Nguendab Gwanyalla affiliated with any hospitals?

According to CMS data, Nguendab Gwanyalla is affiliated with Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Nguendab Gwanyalla was last updated on April 15, 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.