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DOMINIQUE MICHELLE GRASTY HINES MD
NPI 1518596246
Pediatrics in Smyrna, GA

Active since April 04, 2020PECOS Enrolled
4581 S COBB DR SE STE 100, SMYRNA, GA 30080(770) 801-5000(770) 435-6690 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Apr 4, 2020 (2 updates tracked since 2020).

About Dominique Michelle Grasty Hines Md NPPES

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

DOMINIQUE MICHELLE GRASTY HINES MD (NPI 1518596246) is an individual pediatrics provider in Smyrna, Georgia, licensed in Georgia (95066) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1518596246
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDOMINIQUE MICHELLE GRASTY HINESCredential: MD
Location Address4581 S COBB DR SE STE 100Smyrna, GA 30080-6906
Mailing Address4581 S Cobb Dr Se Ste 100Smyrna, GA 30080-6906 · (770) 801-5000 · Fax (770) 435-6690
Phone(770) 801-5000
Fax(770) 435-6690
Sole ProprietorNo
Enumeration DateApril 4, 2020
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1518596246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 95066
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4581 S COBB DR SE STE 100, Smyrna, GA 30080
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Secondary Practice Location 1

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 756-1393 · Fax (404) 756-1357

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Michelle Grasty Hines Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Dominique Hines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
1.9 mi
Allergy & Immunology
4480 N COOPER LAKE RD SE, STE. 101
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1538467303 (770) 333-2027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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 3

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

ERIN FERGUSON
Nurse Practitioner (Pediatrics)
4581 S COBB DR SE STE 100
SMYRNA, GA 30080
Cobb County (770) 801-5000
MELISSA NICOLE HARRISON BOEKHAUS M.D. FAAP
Pediatrics
4581 S COBB DR SE STE 100
SMYRNA, GA 30080
Cobb County (770) 801-5000
DR. JONATHAN YAARI M.D.
Pediatrics (Pediatric Cardiology)
4581 S COBB DR SE STE 100
SMYRNA, GA 30080
Cobb County (470) 956-9632

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 Dominique Hines's NPI number?

The NPI number for Dominique Hines is 1518596246. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Dominique Hines located?

Dominique Hines practices at 4581 S Cobb Dr SE Ste 100, Smyrna, GA 30080. The listed phone number is (770) 801-5000.

What is Dominique Hines's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dominique Hines enrolled in Medicare?

Yes. Dominique Hines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominique Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Hines reassigns Medicare benefits to Wellstar Medical Group, LLC (Smyrna, GA). The 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 Dominique Hines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Hines accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Dominique Hines 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 Dominique Hines was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.