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REBECCA CAWTHON NP
NPI 1366810590
Nurse Practitioner - Acute Care in Atlanta, GA

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1364 CLIFTON RD NE OFC F711, ATLANTA, GA 30322(404) 416-0722 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2019, May 7, 2019, Apr 15, 2019 and 13 more (16 updates tracked since 2016).

About Rebecca Cawthon Np NPPES

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

REBECCA CAWTHON NP (NPI 1366810590) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN279567) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1366810590
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameREBECCA CAWTHONCredential: NP
Location Address1364 CLIFTON RD NE OFC F711Atlanta, GA 30322-8407
Mailing Address1821 Clifton Rd Ne Ste 1017Atlanta, GA 30329-4021 · (404) 416-0722 · Fax (404) 728-6925
Phone(404) 416-0722
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 3, 2015
Last NPPES UpdateSeptember 11, 201916 updates tracked since enumeration
✔ NPI 1366810590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN279567
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License RN279567 (GA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007958 (NC)
1364 CLIFTON RD NE OFC F711, Atlanta, GA 30322
Open in Google Maps ↗

Secondary Practice Location 1

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 512-5363

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

Rebecca Cawthon Np 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 ID3274833314
PECOS Enrollment IDI20190114000641
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services31 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services17 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
20 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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 Rebecca Cawthon's NPI number?

The NPI number for Rebecca Cawthon is 1366810590. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Rebecca Cawthon located?

Rebecca Cawthon practices at 1364 Clifton Rd NE Ofc F711, Atlanta, GA 30322. The listed phone number is (404) 416-0722.

What is Rebecca Cawthon's specialty?

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

Is Rebecca Cawthon enrolled in Medicare?

Yes. Rebecca Cawthon 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.

Is Rebecca Cawthon affiliated with any hospitals?

According to CMS data, Rebecca Cawthon is affiliated with Emory University Hospital, Emory Decatur Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Rebecca Cawthon was last updated on September 11, 2019. 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.