MRS. MARIA S. GADDY NURSE PRACTITIONER
NPI 1588033195
Nurse Practitioner in Greensboro, GA

Active since September 24, 2015PECOS Enrolled
68.38/100
CMS Quality Rating
1000 COWLES CLINC WAY STE M-200, GREENSBORO, GA 30642(706) 454-0159(706) 454-0101 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 20, 2020, May 7, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mrs. Maria S. Gaddy Nurse Practitioner NPPES

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

MRS. MARIA S. GADDY NURSE PRACTITIONER (NPI 1588033195) is an individual nurse practitioner in Greensboro, Georgia, licensed in Georgia (RN076804) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1588033195
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARIA S. GADDYCredential: NURSE PRACTITIONER
Location Address1000 COWLES CLINC WAY STE M-200Greensboro, GA 30642-4541
Mailing Address1835 Savoy Dr Ste 300Atlanta, GA 30341-1071 · (706) 454-0159 · Fax (706) 454-0101
Fax(706) 454-0101
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateAugust 20, 20205 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1588033195 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
License✔ Licensed in GA · RN076804
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN076804 (GA)
1000 COWLES CLINC WAY STE M-200, Greensboro, GA 30642

Secondary Practice Location 1

Location 13320 Old Jefferson Rd, Bldg 700Athens, GA 30607-1400 · Phone (706) 353-2990 · Fax (706) 353-2992

Other Identifiers 3

Medicaid003168013EGA
Medicaid003168013FGA
Other2025I00529GA · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Maria S. Gaddy Nurse Practitioner 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.

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 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.
282 services201 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.
87 services64 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

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 Maria Gaddy's NPI number?

The NPI number for Maria Gaddy is 1588033195. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Maria Gaddy located?

Maria Gaddy practices at 1000 Cowles Clinc Way Ste M-200, Greensboro, GA 30642. The listed phone number is (706) 454-0159.

What is Maria Gaddy's specialty?

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

Is Maria Gaddy enrolled in Medicare?

Yes. Maria Gaddy is registered in the Medicare PECOS enrollment system.

What insurance does Maria Gaddy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Maria Gaddy 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 Maria Gaddy was last updated on August 20, 2020. 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.