NINA DURCHFORT METCALFE M.D., M.S.
NPI 1487049565
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Atlanta, GA

Q: What is Nina Metcalfe's NPI number?

The NPI number for Nina Metcalfe is 1487049565. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Q: What is Nina Metcalfe's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Nina Metcalfe was last updated on April 26, 2024. 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.

Active since April 05, 2015PECOS EnrolledAccepts Medicare Assignment

1800 PEACHTREE ST NW STE 700, ATLANTA, GA 30309(678) 344-8900 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2024, May 24, 2023, Dec 29, 2022 and 1 more (4 updates tracked since 2022).

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About Nina Durchfort Metcalfe M.d., M.s. NPPES

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

NINA DURCHFORT METCALFE M.D., M.S. (NPI 1487049565) is an individual urogynecology and reconstructive pelvic surgery provider in Atlanta, Georgia, licensed in Georgia (83208) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Emory University School Of Medicine (2015).

NPPES Registry Identity

NPI1487049565

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameNINA DURCHFORT METCALFECredential: M.D., M.S.

Location Address1800 PEACHTREE ST NW STE 700Atlanta, GA 30309-2511

Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 691-0506

Phone(678) 344-8900

Sole ProprietorYes

Medical School CMSEmory University School Of MedicineGraduated 2015

Enumeration DateApril 5, 2015

Last NPPES UpdateApril 26, 20244 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1487049565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in GA · 83208

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

1800 PEACHTREE ST NW STE 700, Atlanta, GA 30309

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Nina Durchfort Metcalfe M.d., M.s. 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 ID9133423403

PECOS Enrollment IDI20230105001892

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 14

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.

298 services171 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

222 services174 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

197 services164 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

140 services140 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.

83 services71 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

77 services48 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

77 services48 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

42 services40 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

38 services38 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

38 services38 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

38 services38 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

38 services38 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

37 services35 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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 2

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

ADVANCED GYNECOLOGY PC

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

1800 PEACHTREE ST NW STE 700
ATLANTA, GA 30309

Fulton County (678) 344-8900

ADVANCED UROLOGY INSTITUTE OF GEORGIA PC

Urology

1800 PEACHTREE ST NW STE 700
ATLANTA, GA 30309

Fulton County (678) 344-8900

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 Nina Metcalfe's NPI number?

The NPI number for Nina Metcalfe is 1487049565. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Where is Nina Metcalfe located?

Nina Metcalfe practices at 1800 Peachtree St NW Ste 700, Atlanta, GA 30309. The listed phone number is (678) 344-8900.

What is Nina Metcalfe's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Nina Metcalfe enrolled in Medicare?

Yes. Nina Metcalfe 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 Nina Metcalfe 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 Nina Metcalfe 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 Nina Metcalfe affiliated with any hospitals?

According to CMS data, Nina Metcalfe is affiliated with Northside Hospital Forsyth, Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Nina Metcalfe was last updated on April 26, 2024. 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.