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NEDEGE RAYBOURNE
NPI 1386125516
Nurse Practitioner - Family in Covington, GA

Active since August 26, 2018PECOS Enrolled
75/100
CMS Quality Rating
30 CRANBROOK WAY, COVINGTON, GA 30016(470) 774-0789 Get Directions Write a Review

NPPES record last updated: August 26, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nedege Raybourne NPPES

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

NEDEGE RAYBOURNE (NPI 1386125516) is an individual family provider in Covington, Georgia, licensed in Georgia (F04180532) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386125516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNEDEGE RAYBOURNE
Location Address30 CRANBROOK WAYCovington, GA 30016-9065
Mailing Address30 Cranbrook WayCovington, GA 30016-9065
Phone(470) 774-0789
Sole ProprietorYes
Enumeration DateAugust 26, 2018
✔ NPI 1386125516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · F04180532✔ Licensed in GA · RN186313
30 CRANBROOK WAY, Covington, GA 30016
Open in Google Maps ↗

Other Names 1

Other Name (5)Nedege Richaard Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nedege Raybourne 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 Nedege Raybourne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Mso LLC
31 mi
Family Medicine
3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 131 clinicians in this Medicare group
NPI 1952196164 (212) 734-6621
Hardy Renew Wellness,llc
44 mi
Internal Medicine
838 CANNON RUN SW
Marietta, GA 30064
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1952914368 (423) 443-9956
Medical Director Services PC
567 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,654 services305 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
589 services202 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
416 services113 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
165 services104 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
137 services114 patients
Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month 99437
Chronic care management services involve regular check-ups, medication management, and health guidance for patients with two or more long-term health conditions. This specific service provides an additional 30 minutes of personal attention from a healthcare professional each month.
64 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30016 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$22.42 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$7.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nedege Raybourne's NPI number?

The NPI number for Nedege Raybourne is 1386125516. It was assigned to this individual provider in the NPPES registry on August 26, 2018. The provider is also known as Nedege Richaard Np.

Where is Nedege Raybourne located?

Nedege Raybourne practices at 30 Cranbrook Way, Covington, GA 30016. The listed phone number is (470) 774-0789.

What is Nedege Raybourne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nedege Raybourne enrolled in Medicare?

Yes. Nedege Raybourne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nedege Raybourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nedege Raybourne reassigns Medicare benefits to 3 organizations: Georgia Mso LLC (Atlanta, GA), Hardy Renew Wellness,llc (Marietta, GA) and Medical Director Services PC (Princess Anne, MD). 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 Nedege Raybourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nedege Raybourne was last updated on August 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.