TONYA CALLAHAN
NPI 1568683191
Emergency Medicine in Decatur, GA
About Tonya Callahan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONYA CALLAHAN (NPI 1568683191) is an individual emergency medicine provider in Decatur, Georgia, licensed in Georgia (058993) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tonya Callahan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tonya Callahan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
- 128 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30033
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 Tonya Callahan's NPI number?
The NPI number for Tonya Callahan is 1568683191. It was assigned to this individual provider in the NPPES registry on May 1, 2007.
Where is Tonya Callahan located?
Tonya Callahan practices at 2701 North Decatur Road, Decatur, GA 30033. The listed phone number is (404) 501-1849.
What is Tonya Callahan's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tonya Callahan enrolled in Medicare?
Yes. Tonya Callahan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tonya Callahan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Callahan reassigns Medicare benefits to 2 organizations: Cep America LLC (Decatur, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). 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 Tonya Callahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Callahan accept?
Health plans from Oscar Health and Oscar Insurance Company list Tonya Callahan 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 Tonya Callahan was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tonya Callahan · NPI 1568683191
Emergency Medicine physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1568683191 (Entity type: Individual)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 058993 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2701 NORTH DECATUR ROAD, Decatur, GA 30033
- **Phone:** (404) 501-1849
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1215982814, Decatur, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2008
- **Other identifiers:** Medicare PIN 93BFDXZ (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1568683191) · Data from the CMS NPPES public registry.