1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Otolaryngology
  6. NPI Profile

NICOLE C SCHMITT M.D.
NPI 1336258086
Otolaryngology - Plastic Surgery within the Head & Neck in Atlanta, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE FL 11, ATLANTA, GA 30308(404) 778-1900 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Feb 14, 2022, Jan 13, 2020 and 1 more (4 updates tracked since 2015).

About Nicole C Schmitt M.d. NPPES

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

NICOLE C SCHMITT M.D. (NPI 1336258086) is an individual plastic surgery within the head & neck provider in Atlanta, Georgia, licensed in Georgia (84376) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Georgia College Of Eclectric Medicine And Surgery (2006).

NPPES Registry Identity

NPI1336258086
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameNICOLE C SCHMITTCredential: M.D.
Location Address550 PEACHTREE ST NE FL 11Atlanta, GA 30308-2247
Mailing Address550 Peachtree St Ne Fl 11Atlanta, GA 30308-2247 · (404) 778-1900
Phone(404) 778-1900
Sole ProprietorNo
Medical School CMSGeorgia College Of Eclectric Medicine And SurgeryGraduated 2006
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1336258086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in GA · 84376
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 84376 (GA), D00793445 (MD)
550 PEACHTREE ST NE FL 11, Atlanta, GA 30308
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole C Schmitt M.d. 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 ID8820237555
PECOS Enrollment IDI20200706002755
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 3

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 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.
63 services44 patients
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.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

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 2

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

JASON LEE YU MD
Otolaryngology (Sleep Medicine)
550 PEACHTREE ST NE FL 11
ATLANTA, GA 30308
Fulton County (215) 662-2777
NATASHA COHEN
Student in an Organized Health Care Education/Training Program
550 PEACHTREE ST NE FL 11
ATLANTA, GA 30308
Fulton County (678) 488-1859

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 Nicole Schmitt's NPI number?

The NPI number for Nicole Schmitt is 1336258086. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Nicole Schmitt located?

Nicole Schmitt practices at 550 Peachtree St NE Fl 11, Atlanta, GA 30308. The listed phone number is (404) 778-1900.

What is Nicole Schmitt's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Nicole Schmitt enrolled in Medicare?

Yes. Nicole Schmitt 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 Nicole Schmitt accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicole Schmitt 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 Nicole Schmitt affiliated with any hospitals?

According to CMS data, Nicole Schmitt is affiliated with Emory Decatur Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Nicole Schmitt was last updated on March 16, 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.