EDWIGE GOBY KONWO-TAYO
NPI 1538646526
Nurse Practitioner - Family in Stone Mountain, GA

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1183 S HAIRSTON RD STE A, STONE MOUNTAIN, GA 30088(404) 296-8858 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 30, 2019, Jul 23, 2018 (2 updates tracked since 2018).

About Edwige Goby Konwo-tayo NPPES

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

EDWIGE GOBY KONWO-TAYO (NPI 1538646526) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN220667) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538646526
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDWIGE GOBY KONWO-TAYO
Location Address1183 S HAIRSTON RD STE AStone Mountain, GA 30088-2796
Mailing Address814 Lazarus DrWoodstock, GA 30188-5100 · (404) 825-6874
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 23, 2018
Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration
✔ NPI 1538646526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN220667
Also ListedEmergency MedicineTaxonomy 207P00000X · License RN220667 (GA)
1183 S HAIRSTON RD STE A, Stone Mountain, GA 30088

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

Edwige Goby Konwo-tayo 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 ID9335576032
PECOS Enrollment IDI20200218002729
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 13

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
238 services109 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
200 services24 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.
172 services160 patients
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.
138 services128 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
87 services81 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
73 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30088 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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1183 S HAIRSTON RD STE A
STONE MOUNTAIN, GA 30088
Family Medicine
1183 S HAIRSTON RD STE A
STONE MOUNTAIN, GA 30088

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 Edwige Konwo-tayo's NPI number?

The NPI number for Edwige Konwo-tayo is 1538646526. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Edwige Konwo-tayo located?

Edwige Konwo-tayo practices at 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088. The listed phone number is (404) 296-8858.

What is Edwige Konwo-tayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edwige Konwo-tayo enrolled in Medicare?

Yes. Edwige Konwo-tayo 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.

When was this NPI record last updated?

The NPPES record for Edwige Konwo-tayo was last updated on December 30, 2019. 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.