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GREGORY TODD FOUNTAIN MD
NPI 1366456964
Obstetrics & Gynecology in Lawrenceville, GA

Active since July 28, 2006PECOS Enrolled
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046(678) 985-8001 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gregory Todd Fountain Md NPPES

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

GREGORY TODD FOUNTAIN MD (NPI 1366456964) is an individual obstetrics & gynecology provider in Lawrenceville, Georgia, licensed in Georgia (034593) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1366456964
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGREGORY TODD FOUNTAINCredential: MD
Location Address766 WALTHER RD, SUITE 100Lawrenceville, GA 30046-8764
Mailing Address766 Walther Road, Suite 100Lawrenceville, GA 30046 · (678) 985-8001
Phone(678) 985-8001
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
✔ NPI 1366456964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 034593
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
766 WALTHER RD, Lawrenceville, GA 30046
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Secondary Practice Location 1

Location 13950 Austell RdAustell, GA 30106-1121 · Phone (770) 793-5913 · Fax (770) 999-2445

Other Identifiers 3

Other314606GA · Wellcare
Other10045970GA · Amerigroup
Medicaid00509594EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Todd Fountain Md 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

3

Medicare enrollment records show Gregory Fountain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
19 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Dhp Of Piedmont PC
46 mi
Obstetrics & Gynecology
1255 HIGHWAY 54 W
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1316202609 (770) 719-7000
Emory Specialty Associates, LLC
87 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

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 30046 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
$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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
90%262 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
98%673 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
70%283 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
68%2,282 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,587 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%147 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%1,001 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%862 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 842 patients
Patients tobacco: 8% · 38 patients
95%842 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,001 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%1,001 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
66%1,001 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

MICHAEL A. LIPSITT MD
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
KATHERINE MARY SIEDOR PA
Physician Assistant (Medical)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
LEMUEL G VILLANUEVA MD
Obstetrics & Gynecology
766 WALTHER RD, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2485
DR. AJAZ L CHAUDHRY M.D.
Otolaryngology
766 WALTHER RD, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 237-3000
MARC I. UNTERMAN MD
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
DR. MARCUS CERI SIMS M.D.
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-9100
ATLANTA GWINNETT WOMEN'S SPECIALISTS
Obstetrics & Gynecology
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-2485
GWINNETT HEART SPECIALISTS LLC
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5625

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 Gregory Fountain's NPI number?

The NPI number for Gregory Fountain is 1366456964. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Gregory Fountain located?

Gregory Fountain practices at 766 Walther Rd Suite 100, Lawrenceville, GA 30046. The listed phone number is (678) 985-8001.

What is Gregory Fountain's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gregory Fountain enrolled in Medicare?

Yes. Gregory Fountain is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Fountain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Fountain reassigns Medicare benefits to 3 organizations: Wellstar Medical Group, LLC (Roswell, GA), Dhp Of Piedmont PC (Fayetteville, GA) and Emory Specialty Associates, LLC (Lagrange, GA). 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 Gregory Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Fountain accept?

Health plans from Alliant Health Plans, Inc. list Gregory Fountain 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 Gregory Fountain was last updated on August 17, 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.