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BRIANNA CUMMINGS
NPI 1295356152
Physician Assistant in Atlanta, GA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 756-1959 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brianna Cummings NPPES

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

BRIANNA CUMMINGS (NPI 1295356152) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10790) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295356152
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRIANNA CUMMINGS
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address2310 Prickly Pear WalkLawrenceville, GA 30043-6343
Phone(404) 756-1959
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 1, 2020
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1295356152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 10790
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 WESTVIEW DR SW, Atlanta, GA 30310
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brianna Cummings 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 ID6305228297
PECOS Enrollment IDI20220809003628, I20260305001784
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.

Areas of Expertise CMS Part B claims

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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 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
$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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Brianna Cummings's NPI number?

The NPI number for Brianna Cummings is 1295356152. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Brianna Cummings located?

Brianna Cummings practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 756-1959.

What is Brianna Cummings's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brianna Cummings enrolled in Medicare?

Yes. Brianna Cummings 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.

What insurance does Brianna Cummings accept?

Health plans from Oscar Insurance Company list Brianna Cummings 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 Brianna Cummings affiliated with any hospitals?

According to CMS data, Brianna Cummings is affiliated with Emory Decatur Hospital and Macneal Hospital.

When was this NPI record last updated?

The NPPES record for Brianna Cummings was last updated on July 21, 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.