ANTHONY MICHAEL NAZIONE DO
NPI 1467890533
Family Medicine in Calhoun, GA

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
98.1/100
CMS Quality Rating
251 HIGHWAY 53 E, CALHOUN, GA 30701(706) 629-1126(770) 773-1534 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2023, Nov 17, 2022, May 20, 2021 and 1 more (4 updates tracked since 2017).

About Anthony Michael Nazione Do NPPES

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

ANTHONY MICHAEL NAZIONE DO (NPI 1467890533) is an individual family medicine provider in Calhoun, Georgia, licensed in Georgia (073511) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1467890533
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY MICHAEL NAZIONECredential: DO
Location Address251 HIGHWAY 53 ECalhoun, GA 30701-3026
Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3000
Fax(770) 773-1534
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateMarch 10, 20234 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
NPI 1467890533 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 · 073511
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.

251 HIGHWAY 53 E, Calhoun, GA 30701

Accepted 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

Anthony Michael Nazione Do 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 ID8325351265
PECOS Enrollment IDI20150721001207
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 6

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 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.
54 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services18 patients
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.
44 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services15 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.
13 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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.

98.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
251 HIGHWAY 53 E
CALHOUN, GA 30701
Nurse Practitioner (Family)
251 HIGHWAY 53 E
CALHOUN, GA 30701
Non-Pharmacy Dispensing Site
251 HIGHWAY 53 E
CALHOUN, GA 30701
Family Medicine
251 HIGHWAY 53 E
CALHOUN, GA 30701
Physical Therapy Assistant
251 HIGHWAY 53 E
CALHOUN, GA 30701
Family Medicine
251 HIGHWAY 53 E
CALHOUN, GA 30701

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 Anthony Nazione's NPI number?

The NPI number for Anthony Nazione is 1467890533. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Anthony Nazione located?

Anthony Nazione practices at 251 Highway 53 E, Calhoun, GA 30701. The listed phone number is (706) 629-1126.

What is Anthony Nazione's specialty?

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

Is Anthony Nazione enrolled in Medicare?

Yes. Anthony Nazione 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 Anthony Nazione accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Anthony Nazione 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 Anthony Nazione affiliated with any hospitals?

According to CMS data, Anthony Nazione is affiliated with Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Nazione was last updated on March 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.