JUAN NIETO
NPI 1467816272
Emergency Medicine in Stockbridge, GA

Q: What is Juan Nieto's NPI number?

The NPI number for Juan Nieto is 1467816272. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Juan Nieto's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Nieto was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(954) 560-2312 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2019, Jul 24, 2018 (2 updates tracked since 2018).

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About Juan Nieto NPPES

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

JUAN NIETO (NPI 1467816272) is an individual emergency medicine provider in Stockbridge, Georgia, licensed in Maryland (D0085043) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467816272

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJUAN NIETO

Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281

Mailing Address1133 Eagles Landing PkwyStockbridge, GA 30281-5085 · (954) 560-2312

Phone(954) 560-2312

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 7, 2016

Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration

✔ NPI 1467816272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MD · D0085043

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

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Secondary Practice Locations 2

Location 120010 Century Blvd Ste 200Germantown, MD 20874 · Phone (954) 560-2312

Location 2506 6th StBrooklyn, NY 11215-3609 · Phone (718) 780-5040

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Health Maintenance Organization of Florida and more.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

Juan Nieto 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 ID8325395247

PECOS Enrollment IDI20241029002968

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

Medicare enrollment records show Juan Nieto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Fulton Emergency Physicians, LLC

38 mi

Emergency Medicine

3000 HOSPITAL BLVD
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
61 clinicians in this Medicare group

NPI 1053456954 (770) 751-2500

Inphynet Primary Care Physicians Southeast PC

81 mi

Emergency Medicine

2122 MANCHESTER EXPY
Columbus, GA 31904

Reassigned Medicare billing, Georgia enrollment
200 clinicians in this Medicare group

NPI 1770521460 (706) 596-4000

Paragon Contracting Services LLC

148 mi

Emergency Medicine

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Florida enrollment
802 clinicians in this Medicare group

NPI 1225071459 (205) 939-7100

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 3

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.

107 services105 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.

36 services34 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.

26 services26 patients

Hospital Affiliations CMS Care Compare

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100002

Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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.

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.

DR. BRIGITTE VANLE MD

Emergency Medicine