EMILY LOUISE OTHOLD FNP-C
NPI 1306538426
Nurse Practitioner - Family in Atlanta, GA

Active since May 25, 2023PECOS Enrolled
887 W MARIETTA ST NW, ATLANTA, GA 30318(888) 772-0076 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emily Louise Othold Fnp-c NPPES

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

EMILY LOUISE OTHOLD FNP-C (NPI 1306538426) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN242072) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306538426
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY LOUISE OTHOLDCredential: FNP-C
Location Address887 W MARIETTA ST NWAtlanta, GA 30318-5252
Mailing Address47 Shortleaf TrlRichmond Hill, GA 31324-6555 · (774) 218-0741 · Fax (774) 218-0741
Sole ProprietorNo
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1306538426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN242072
887 W MARIETTA ST NW, Atlanta, GA 30318

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Louise Othold Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Emily Othold reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
Physical Medicine & Rehabilitation
704 BREEDLOVE DR STE A
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 146 clinicians in this Medicare group
Specialist
704 BREEDLOVE DR, STE A
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 71 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2321 POOLER PARKWAY, SUITE 106
Pooler, GA 31322
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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 5

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

Nurse Practitioner (Family)
887 W MARIETTA ST NW
ATLANTA, GA 30318
Nurse Practitioner
887 W MARIETTA ST NW
ATLANTA, GA 30318
Nurse Practitioner (Family)
887 W MARIETTA ST NW
ATLANTA, GA 30318
Nurse Practitioner (Psychiatric/Mental Health)
887 W MARIETTA ST NW
ATLANTA, GA 30318
Nurse Practitioner (Family)
887 W MARIETTA ST NW
ATLANTA, GA 30318

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 Emily Othold's NPI number?

The NPI number for Emily Othold is 1306538426. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Emily Othold located?

Emily Othold practices at 887 W Marietta St NW, Atlanta, GA 30318. The listed phone number is (888) 772-0076.

What is Emily Othold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Othold enrolled in Medicare?

Yes. Emily Othold is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Othold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Othold reassigns Medicare benefits to 5 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA), Chronic Disease Management Of Georgia, LLC (Monroe, GA), Transitional Care Physicians Of Georgia PC (Monroe, GA), Coastal Community Health Services, Inc. (Pooler, GA) 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 Emily Othold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Othold accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Emily Othold 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.

When was this NPI record last updated?

The NPPES record for Emily Othold was last updated on May 25, 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.