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TIAN XIA MD
NPI 1437357423
Family Medicine in Winder, GA

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
76.95/100
CMS Quality Rating
175 N BROAD ST, WINDER, GA 30680(770) 868-1144(770) 868-1276 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tian Xia Md NPPES

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

TIAN XIA MD (NPI 1437357423) is an individual family medicine provider in Winder, Georgia, licensed in Virginia (116019066) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Union General Hospital, and maintains a secondary practice location in Stevens Point.

NPPES Registry Identity

NPI1437357423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIAN XIACredential: MD
Location Address175 N BROAD STWinder, GA 30680-2153
Mailing Address5330 Northwater WayDuluth, GA 30097-2485 · (770) 840-8581 · Fax (770) 840-0641
Phone(770) 868-1144
Fax(770) 868-1276
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 11, 2007
Last NPPES UpdateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1437357423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 116019066
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 3045 (WI)
175 N BROAD ST, Winder, GA 30680
Open in Google Maps ↗

Secondary Practice Location 1

Location 14100 State Highway 66Stevens Point, WI 54482-8410 · Phone (715) 343-7700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Aspirus Health Plan 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

Tian Xia Md 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 ID2961681713
PECOS Enrollment IDI20110125001006, I20171024003389, I20230602002603, I20240223001618, I20240506001939, I20260123002956
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
459 services447 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
271 services259 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
217 services212 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
63 services62 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30680 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost25.22

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.

MICHELLE JUNGAE PARK NP-C
Nurse Practitioner (Family)
175 N BROAD ST
WINDER, GA 30680
Barrow County (770) 868-1144
GWINNETT CLINIC, LTD
Clinic/Center (Multi-Specialty)
175 N BROAD ST
WINDER, GA 30680
Barrow County (770) 868-1144

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 Tian Xia's NPI number?

The NPI number for Tian Xia is 1437357423. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Tian Xia located?

Tian Xia practices at 175 N Broad St, Winder, GA 30680. The listed phone number is (770) 868-1144.

What is Tian Xia's specialty?

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

Is Tian Xia enrolled in Medicare?

Yes. Tian Xia 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 Tian Xia accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Tian Xia 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 Tian Xia affiliated with any hospitals?

According to CMS data, Tian Xia is affiliated with Union General Hospital, Houston Healthcare and Trinity Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tian Xia was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.