GABRIELA PENA M.D.
NPI 1528322922
Family Medicine in Palmetto, GA
About Gabriela Pena M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELA PENA M.D. (NPI 1528322922) is an individual family medicine provider in Palmetto, Georgia, licensed in Georgia (72408) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Howard University College Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
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
Gabriela Pena M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Gabriela Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palmetto, GA 30268
- Reassigned Medicare billing, Georgia enrollment
- 8 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPiedmont Newnan Hospital, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30268 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALMETTO, GA 30268
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 Gabriela Pena's NPI number?
The NPI number for Gabriela Pena is 1528322922. It was assigned to this individual provider in the NPPES registry on June 29, 2012.
Where is Gabriela Pena located?
Gabriela Pena practices at 643 Main St, Palmetto, GA 30268. The listed phone number is (404) 929-8824.
What is Gabriela Pena's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gabriela Pena enrolled in Medicare?
Yes. Gabriela Pena 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 organization bills Medicare for Gabriela Pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gabriela Pena reassigns Medicare benefits to Palmetto Health Council Inc (Palmetto, 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 Gabriela Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gabriela Pena 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 Gabriela Pena 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 Gabriela Pena affiliated with any hospitals?
According to CMS data, Gabriela Pena is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Gabriela Pena was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gabriela Pena, M.D. · NPI 1528322922
Family Medicine physician in Palmetto, Georgia. Individual provider, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1528322922 (Entity type: Individual)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 72408 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 643 MAIN ST, Palmetto, GA 30268-1138
- **Phone:** (404) 929-8824
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Palmetto Health Council Inc (NPI 1184884678, Palmetto, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** July 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1528322922) · Data from the CMS NPPES public registry.