ZOHRA ALI WADHWANIA NP-C
NPI 1437615218
Nurse Practitioner in Lawrenceville, GA

Active since February 16, 2019PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2021, Feb 16, 2019 (2 updates tracked since 2019).

About Zohra Ali Wadhwania Np-c NPPES

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

ZOHRA ALI WADHWANIA NP-C (NPI 1437615218) is an individual nurse practitioner in Lawrenceville, Georgia, licensed in Georgia (RN223694) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Emory Johns Creek Hospital, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1437615218
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameZOHRA ALI WADHWANIACredential: NP-C
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-1000
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateFebruary 16, 2019
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1437615218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN223694
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zohra Ali Wadhwania Np-c 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 ID9234467978
PECOS Enrollment IDI20190820001614
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

2

Medicare enrollment records show Zohra Wadhwania reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

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 2

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
102 services32 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.
58 services43 patients

Hospital Affiliations CMS Care Compare

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

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

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
$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 20

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

Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046

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 Zohra Wadhwania's NPI number?

The NPI number for Zohra Wadhwania is 1437615218. It was assigned to this individual provider in the NPPES registry on February 16, 2019.

Where is Zohra Wadhwania located?

Zohra Wadhwania practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.

What is Zohra Wadhwania's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Zohra Wadhwania enrolled in Medicare?

Yes. Zohra Wadhwania 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.

Which organizations bill Medicare for Zohra Wadhwania's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zohra Wadhwania reassigns Medicare benefits to 2 organizations: Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA) and The Emory Clinic Inc (Atlanta, 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 Zohra Wadhwania's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zohra Wadhwania accept?

Health plans from Oscar Health, Oscar Insurance Company and UnitedHealthcare list Zohra Wadhwania 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 Zohra Wadhwania affiliated with any hospitals?

According to CMS data, Zohra Wadhwania is affiliated with Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Zohra Wadhwania was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.