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CAMERON ELLISE TOLBERT DNP
NPI 1326779380
Nurse Practitioner - Acute Care in Gainesville, GA

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
68.54/100
CMS Quality Rating
601 BROAD ST SE, GAINESVILLE, GA 30501(678) 971-4167 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cameron Ellise Tolbert Dnp NPPES

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

CAMERON ELLISE TOLBERT DNP (NPI 1326779380) is an individual acute care provider in Gainesville, Georgia, licensed in Georgia (RN284604) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326779380
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCAMERON ELLISE TOLBERTCredential: DNP
Location Address601 BROAD ST SEGainesville, GA 30501-3707
Mailing Address59 Fieldstone LnDawsonville, GA 30534-0763 · (770) 402-0383
Phone(678) 971-4167
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2022
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1326779380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN284604
601 BROAD ST SE, Gainesville, GA 30501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Cameron Ellise Tolbert Dnp 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 ID6103201702
PECOS Enrollment IDI20220919000795
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 Reassignment

Medicare enrollment records show Cameron Tolbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Emory Clinic Inc
45 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
339 services85 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
134 services75 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
128 services56 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
72 services36 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.
50 services39 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
49 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

68.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.11
Promoting Interoperability95
Improvement Activities40
Cost19.19

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.

GAINESVILLE PROCEDURE CENTER LLC
Clinic/Center (Ambulatory Surgical)
601 BROAD ST SE, SUITE E
GAINESVILLE, GA 30501
Hall County (678) 989-1515
DR. THOMAS BRYAN BUTLER D.C.
Chiropractor
601 BROAD ST SE, SUITE C
GAINESVILLE, GA 30501
Hall County (678) 971-4553
CARESOUTH HHA HOLDINGS OF GAINESVILLE, LLC
Home Health
601 BROAD ST SE, SUITE F
GAINESVILLE, GA 30501
Hall County (770) 536-0497
DR. JOLAADE ADEBAYO M.D.
Pain Medicine (Interventional Pain Medicine)
601 BROAD ST SE, SUITE B
GAINESVILLE, GA 30501
Hall County (678) 989-1515
HOPE CHIROPRACTIC, LLC
Chiropractor
601 BROAD ST SE, SUITE C
GAINESVILLE, GA 30501
Hall County (678) 971-4553

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 Cameron Tolbert's NPI number?

The NPI number for Cameron Tolbert is 1326779380. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Cameron Tolbert located?

Cameron Tolbert practices at 601 Broad St SE, Gainesville, GA 30501. The listed phone number is (678) 971-4167.

What is Cameron Tolbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cameron Tolbert enrolled in Medicare?

Yes. Cameron Tolbert 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 organization bills Medicare for Cameron Tolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Tolbert reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The 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 Cameron Tolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cameron Tolbert accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Cameron Tolbert 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 Cameron Tolbert was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.