SAMUEL GEBREYONAS NP
NPI 1285919985
Clinical Nurse Specialist - Acute Care in Atlanta, GA

Active since October 13, 2011PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE, CCU, ATLANTA, GA 30322(404) 778-3914 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2025, Oct 9, 2025 (2 updates tracked since 2025).

About Samuel Gebreyonas Np NPPES

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

SAMUEL GEBREYONAS NP (NPI 1285919985) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN194592) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285919985
Entity TypeIndividualMale
Primary Taxonomy364SA2100X
Provider Legal NameSAMUEL GEBREYONASCredential: NP
Location Address1365 CLIFTON RD NE, CCUAtlanta, GA 30322-1013
Mailing Address3173 Windfield CirTucker, GA 30084-6719 · (516) 220-1553
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 13, 2011
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1285919985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2100X
License✔ Licensed in GA · RN194592
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 194592 (GA)
1365 CLIFTON RD NE, Atlanta, GA 30322

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

Samuel Gebreyonas Np 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 ID8820255979
PECOS Enrollment IDI20120201000857
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 Samuel Gebreyonas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
138 services39 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.
86 services46 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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
$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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Ambulatory Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 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 Samuel Gebreyonas's NPI number?

The NPI number for Samuel Gebreyonas is 1285919985. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Samuel Gebreyonas located?

Samuel Gebreyonas practices at 1365 Clifton Rd NE Ccu, Atlanta, GA 30322. The listed phone number is (404) 778-3914.

What is Samuel Gebreyonas's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.

Is Samuel Gebreyonas enrolled in Medicare?

Yes. Samuel Gebreyonas 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 Samuel Gebreyonas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gebreyonas reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Grady Memorial Hospital Corporation (Atlanta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, 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 Samuel Gebreyonas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Gebreyonas affiliated with any hospitals?

According to CMS data, Samuel Gebreyonas is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Gebreyonas was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.