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DR. PEAESHA LYNETTE HOUSTON DO
NPI 1285054742
Family Medicine in Buford, GA

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
4445 S LEE ST STE 105, BUFORD, GA 30518(770) 848-9240 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2023, May 30, 2023, Jan 8, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Peaesha Lynette Houston Do NPPES

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

DR. PEAESHA LYNETTE HOUSTON DO (NPI 1285054742) is an individual family medicine provider in Buford, Georgia, licensed in Georgia (78196) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285054742
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PEAESHA LYNETTE HOUSTONCredential: DO
Location Address4445 S LEE ST STE 105Buford, GA 30518-8806
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 848-9240
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014
Enumeration DateApril 23, 2014
Last NPPES UpdateJuly 5, 20235 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1285054742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 78196
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 6754 (GA)
4445 S LEE ST STE 105, Buford, GA 30518
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12805 Hamilton Mill RdBuford, GA 30519-4110 · Phone (678) 541-0588
Location 24889 Golden Pkwy Ste 100Buford, GA 30518-5878 · Phone (770) 848-9240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. Peaesha Lynette Houston Do 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 ID143536029
PECOS Enrollment IDI20190319002680
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

3

Medicare enrollment records show Peaesha Houston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Seasons Life Care
8.3 mi
Assisted Living Facility
715 BAILEY WOODS RD
Dacula, GA 30019
  • Reassigned Medicare billing, Georgia enrollment
NPI 1831075423 (678) 923-3973
Northeast Georgia Physicians Group Inc
17 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Northeast Georgia Physicians Group Urgent Care LLC
17 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
NPI 1790875037 (770) 219-8420

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
549 services92 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
64 services38 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
32 services31 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.
18 services18 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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.

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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$7.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

AMY WILLIS PITTS FNP
Nurse Practitioner (Family)
4445 S LEE ST STE 105
BUFORD, GA 30518
Gwinnett County (770) 848-9240
JUNG IK KIM MD
Family Medicine
4445 S LEE ST STE 105
BUFORD, GA 30518
Gwinnett County (770) 848-9240
NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC
Clinic/Center (Urgent Care)
4445 S LEE ST STE 105
BUFORD, GA 30518
Gwinnett County (770) 848-9240

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 Peaesha Houston's NPI number?

The NPI number for Peaesha Houston is 1285054742. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Peaesha Houston located?

Peaesha Houston practices at 4445 S Lee St Ste 105, Buford, GA 30518. The listed phone number is (770) 848-9240.

What is Peaesha Houston's specialty?

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

Is Peaesha Houston enrolled in Medicare?

Yes. Peaesha Houston 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 Peaesha Houston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peaesha Houston reassigns Medicare benefits to 3 organizations: Sacred Seasons Life Care (Dacula, GA), Northeast Georgia Physicians Group Inc (Gainesville, GA) and Northeast Georgia Physicians Group Urgent Care LLC (Gainesville, 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 Peaesha Houston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peaesha Houston accept?

Health plans from Alliant Health Plans, Inc. list Peaesha Houston 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 Peaesha Houston affiliated with any hospitals?

According to CMS data, Peaesha Houston is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Peaesha Houston was last updated on July 5, 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.