CARMEN ECHOLS M.D.
NPI 1427210442
Family Medicine in Lithonia, GA

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5910 HILLANDALE DR, SUITE 301, LITHONIA, GA 30058(770) 987-2155(770) 323-2675 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carmen Echols M.d. NPPES

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

CARMEN ECHOLS M.D. (NPI 1427210442) is an individual family medicine provider in Lithonia, Georgia, licensed in Georgia (002955) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Wayne State University School Of Medicine (2008).

NPPES Registry Identity

NPI1427210442
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARMEN ECHOLSCredential: M.D.
Location Address5910 HILLANDALE DR, SUITE 301Lithonia, GA 30058-1884
Mailing Address5910 Hillandale Dr, Suire 301Lithonia, GA 30058-1884 · (770) 987-2155
Fax(770) 323-2675
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateNovember 8, 2016
NPI 1427210442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 002955
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5910 HILLANDALE DR, Lithonia, GA 30058

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

Carmen Echols 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 ID9638344864
PECOS Enrollment IDI20111215000827
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 7

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.
128 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
52 services41 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.
45 services40 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
36 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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.

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 9

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

Family Medicine
5910 HILLANDALE DR, SUITE 204
LITHONIA, GA 30058
Podiatrist (Foot & Ankle Surgery)
5910 HILLANDALE DR, STE 102
LITHONIA, GA 30058
Family Medicine (Adult Medicine)
5910 HILLANDALE DR, SUITE 103
LITHONIA, GA 30058
Family Medicine
5910 HILLANDALE DR
LITHONIA, GA 30058
Internal Medicine
5910 HILLANDALE DR, SUITE 202
LITHONIA, GA 30058
Surgery
5910 HILLANDALE DR, SUITE 104
LITHONIA, GA 30058
Surgery
5910 HILLANDALE DR, 104
LITHONIA, GA 30058
Physician Assistant
5910 HILLANDALE DR, SUITE 301
LITHONIA, GA 30058

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 Carmen Echols's NPI number?

The NPI number for Carmen Echols is 1427210442. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Carmen Echols located?

Carmen Echols practices at 5910 Hillandale Dr Suite 301, Lithonia, GA 30058. The listed phone number is (770) 987-2155.

What is Carmen Echols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carmen Echols enrolled in Medicare?

Yes. Carmen Echols 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 Carmen Echols affiliated with any hospitals?

According to CMS data, Carmen Echols is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Piedmont Rockdale Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Echols was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.