ARCHIE PERSON III ACNPC-AG
NPI 1487296034
Nurse Practitioner - Acute Care in Fortson, GA

Active since October 16, 2019PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
7933 IVY PARK DR, FORTSON, GA 31808(706) 587-0716(706) 587-0716 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2020, Oct 16, 2019 (2 updates tracked since 2019).

About Archie Person Iii Acnpc-ag NPPES

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

ARCHIE PERSON III ACNPC-AG (NPI 1487296034) is an individual acute care provider in Fortson, Georgia, licensed in Georgia (RN221260) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487296034
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameARCHIE PERSON IIICredential: ACNPC-AG
Location Address7933 IVY PARK DRFortson, GA 31808-6870
Mailing Address145 Lockmeade WayFayetteville, GA 30215-8185 · (706) 587-0716
Fax(706) 587-0716
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1487296034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN221260
7933 IVY PARK DR, Fortson, GA 31808

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

Archie Person Iii Acnpc-ag 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 ID8921407636
PECOS Enrollment IDI20210601000832
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

5

Medicare enrollment records show Archie Person reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
Critical Care Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 89 clinicians in this Medicare group
Cardiovascular Disease
275 COLLIER ROAD, SUITE 300
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 539 clinicians in this Medicare group
Internal Medicine
1626 JEURGENS CT
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 78 clinicians in this Medicare group
Shepherd Center, Inc.
  • Reassigned Medicare billing, Georgia enrollment
  • 69 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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
33 services33 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31808 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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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 Archie Person's NPI number?

The NPI number for Archie Person is 1487296034. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Archie Person located?

Archie Person practices at 7933 Ivy Park Dr, Fortson, GA 31808. The listed phone number is (706) 587-0716.

What is Archie Person's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Archie Person enrolled in Medicare?

Yes. Archie Person 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 Archie Person's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Archie Person reassigns Medicare benefits to 5 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA), Sound Physicians Intensivists Of Georgia PC (Macon, GA), Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA), Pruitthealth Physicians Services, LLC (Norcross, GA) and Shepherd Center, Inc. (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 Archie Person's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Archie Person accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Archie Person 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.

When was this NPI record last updated?

The NPPES record for Archie Person was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.