DR. CARISA LYNETTE HINES MD
NPI 1326064395
Internal Medicine in Atlanta, GA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
86.39/100
CMS Quality Rating
315 BOULEVARD NE, SUITE 242, ATLANTA, GA 30312(404) 588-0771 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2020, Jul 18, 2017 (2 updates tracked since 2017).

About Dr. Carisa Lynette Hines Md NPPES

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

DR. CARISA LYNETTE HINES MD (NPI 1326064395) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (050637) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2000).

NPPES Registry Identity

NPI1326064395
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARISA LYNETTE HINESCredential: MD
Location Address315 BOULEVARD NE, SUITE 242Atlanta, GA 30312-1200
Mailing Address6915 Kimberly Mill RdCollege Park, GA 30349-4723 · (770) 909-5061
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2000
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
NPI 1326064395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 050637 Licensed in SC · 40808 Licensed in NM · MD2018-0302 Licensed in AL · MD.32903
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
315 BOULEVARD NE, Atlanta, GA 30312

Accepted 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

Dr. Carisa Lynette Hines Md 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 ID1456333061
PECOS Enrollment IDI20140218000202
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 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.

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.
64 services64 patients
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.
63 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 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.

86.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.77
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.

Dietitian, Registered
315 BOULEVARD NE, SUITE 332
ATLANTA, GA 30312
Internal Medicine
315 BOULEVARD NE, SUITE 310
ATLANTA, GA 30312
Pathology (Anatomic Pathology)
315 BOULEVARD NE, SUITE 240
ATLANTA, GA 30312
Internal Medicine
315 BOULEVARD NE, SUITE 520
ATLANTA, GA 30312
Internal Medicine
315 BOULEVARD NE, ATLANTA MEDICAL CENTER
ATLANTA, GA 30312
Nurse Practitioner
315 BOULEVARD NE
ATLANTA, GA 30312
Clinic/Center
315 BOULEVARD NE, SUITE 316
ATLANTA, GA 30312
Physician Assistant (Medical)
315 BOULEVARD NE, SUITE 500
ATLANTA, GA 30312

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 Carisa Hines's NPI number?

The NPI number for Carisa Hines is 1326064395. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Carisa Hines located?

Carisa Hines practices at 315 Boulevard NE Suite 242, Atlanta, GA 30312. The listed phone number is (404) 588-0771.

What is Carisa Hines's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carisa Hines enrolled in Medicare?

Yes. Carisa Hines 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 Carisa Hines accept?

Health plans from Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Texas list Carisa Hines 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 Carisa Hines was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.