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ANTONIA LYNN CALABRO-PAYNE NP
NPI 1528284460
Nurse Practitioner in Blairsville, GA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
72.41/100
CMS Quality Rating
19 DOCTORS WAY STE C, BLAIRSVILLE, GA 30512(706) 439-6380 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Feb 19, 2025, Mar 9, 2023 and 1 more (4 updates tracked since 2021).

About Antonia Lynn Calabro-payne Np NPPES

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

ANTONIA LYNN CALABRO-PAYNE NP (NPI 1528284460) is an individual nurse practitioner in Blairsville, Georgia, licensed in Georgia (RN274327) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Union General Hospital, and maintains a secondary practice location in Blue Ridge.

NPPES Registry Identity

NPI1528284460
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANTONIA LYNN CALABRO-PAYNECredential: NP
Location Address19 DOCTORS WAY STE CBlairsville, GA 30512-1118
Mailing Address19 Doctors Way Ste CBlairsville, GA 30512-1118
Phone(706) 439-6380
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 1998
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1528284460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · RN274327✔ Licensed in MA · RN10012280✔ Licensed in FL · ARNP2148462
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X · License RN274327 (GA)
19 DOCTORS WAY STE C, Blairsville, GA 30512
Open in Google Maps ↗

Secondary Practice Location 1

Location 12855 Old Highway 5 Ste 103Blue Ridge, GA 30513-6239 · Phone (678) 513-2273 · Fax (678) 513-8869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Antonia Lynn Calabro-payne Np 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 ID7315130580
PECOS Enrollment IDI20180717002660
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

2

Medicare enrollment records show Antonia Calabro-payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Cardiology Of Atlanta, LLC
74 mi
Cardiovascular Disease
275 COLLIER ROAD, SUITE 300
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 539 clinicians in this Medicare group
NPI 1275729691 (404) 605-2800
Dilkon Medical Center
1,494 mi
Public Health, Federal
1 MEDICAL CENTER DRIVE
Dilkon, AZ 86047
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Winslow Indian Health Care Center Inc
  • 219 clinicians in this Medicare group
NPI 1306016126 (928) 289-4646

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.

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.
62 services59 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.
38 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30512 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.

72.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.1
Promoting Interoperability78
Improvement Activities40
Cost67.26

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.

CHARLES LARRY CAMPBELL M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
19 DOCTORS WAY STE C
BLAIRSVILLE, GA 30512
Union County (706) 439-6380
RODNEY C. GRABER M.D.
Internal Medicine (Cardiovascular Disease)
19 DOCTORS WAY STE C
BLAIRSVILLE, GA 30512
Union County (706) 439-6380

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 Antonia Calabro-payne's NPI number?

The NPI number for Antonia Calabro-payne is 1528284460. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Antonia Calabro-payne located?

Antonia Calabro-payne practices at 19 Doctors Way Ste C, Blairsville, GA 30512. The listed phone number is (706) 439-6380.

What is Antonia Calabro-payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Antonia Calabro-payne enrolled in Medicare?

Yes. Antonia Calabro-payne 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 Antonia Calabro-payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonia Calabro-payne reassigns Medicare benefits to 2 organizations: Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA) and Dilkon Medical Center (Dilkon, AZ). 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 Antonia Calabro-payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonia Calabro-payne accept?

Health plans from Taro Health list Antonia Calabro-payne 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 Antonia Calabro-payne affiliated with any hospitals?

According to CMS data, Antonia Calabro-payne is affiliated with Union General Hospital.

When was this NPI record last updated?

The NPPES record for Antonia Calabro-payne was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.