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MS. NAKATO B. KIBUYAGA-TRAVIS M.D.
NPI 1609031657
Family Medicine in Douglasville, GA

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
6043 PRESTLEY MILL RD STE B, DOUGLASVILLE, GA 30134(770) 947-3000 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nakato B. Kibuyaga-travis M.d. NPPES

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

MS. NAKATO B. KIBUYAGA-TRAVIS M.D. (NPI 1609031657) is an individual family medicine provider in Douglasville, Georgia, licensed in Georgia (066960) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Morehouse School Of Medicine (2008).

NPPES Registry Identity

NPI1609031657
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. NAKATO B. KIBUYAGA-TRAVISCredential: M.D.
Location Address6043 PRESTLEY MILL RD STE BDouglasville, GA 30134-2280
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305-1736 · (404) 364-7070 · Fax (678) 336-7099
Phone(770) 947-3000
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2008
Enumeration DateJuly 18, 2008
Last NPPES UpdateOctober 10, 2019
✔ NPI 1609031657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 066960✔ Licensed in GA · 003467
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6043 PRESTLEY MILL RD STE B, Douglasville, GA 30134
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Secondary Practice Location 1

Location 11175 Cascade Pkwy, Kaiser Permanente Cascade MedicalAtlanta, GA 03311 · Phone (404) 365-0966 · Fax (404) 768-8035

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Ms. Nakato B. Kibuyaga-travis 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.

PECOS PAC ID5092982520
PECOS Enrollment IDI20120124000229
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

6

Medicare enrollment records show Nakato Kibuyaga-travis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier South Medical Group, P.C.
13 mi
Family Medicine
3885 PRINCETON LAKES WAY SW, SUITE 412
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Premier South Medical Group PC
  • 4 clinicians in this Medicare group
NPI 1528114295 (404) 344-6000
Neighbormd Of South Atlanta LLC
14 mi
Internal Medicine
3885 PRINCETON LAKES WAY SW STE 412
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Neighbormd Of Atlanta LLC
  • 7 clinicians in this Medicare group
NPI 1285235036 (404) 344-6000
Neighbormd Of South Atlanta LLC
14 mi
Internal Medicine
3885 PRINCETON LAKES WAY SW STE 412
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1285235036 (404) 344-6000
The Southeast Permanente Medical Group
22 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Qcpi-Villagemd, PC
23 mi
Family Medicine
3445 PEACHTREE RD NE STE 1200
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1558872432 (770) 822-6853
Wellstreet Of Georgia PC
23 mi
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1235411547 (770) 502-2121

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 5

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.
83 services40 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
37 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims24 services$6.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL B PIANSKY M.D.
Internal Medicine
6043 PRESTLEY MILL RD STE B
DOUGLASVILLE, GA 30134
Douglas County (770) 941-8100
HIRONOBU TAKEDA DO
Internal Medicine
6043 PRESTLEY MILL RD STE B
DOUGLASVILLE, GA 30134
Douglas County (770) 941-8100
SUZETTE WHILBY NP
Nurse Practitioner
6043 PRESTLEY MILL RD STE B
DOUGLASVILLE, GA 30134
Douglas County (770) 941-8100

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 Nakato Kibuyaga-travis's NPI number?

The NPI number for Nakato Kibuyaga-travis is 1609031657. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Nakato Kibuyaga-travis located?

Nakato Kibuyaga-travis practices at 6043 Prestley Mill Rd Ste B, Douglasville, GA 30134. The listed phone number is (770) 947-3000.

What is Nakato Kibuyaga-travis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nakato Kibuyaga-travis enrolled in Medicare?

Yes. Nakato Kibuyaga-travis 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 Nakato Kibuyaga-travis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nakato Kibuyaga-travis reassigns Medicare benefits to 6 organizations: Premier South Medical Group, P.C. (Atlanta, GA), Neighbormd Of South Atlanta LLC (Atlanta, GA), Neighbormd Of South Atlanta LLC (Atlanta, GA), The Southeast Permanente Medical Group (Atlanta, GA), Qcpi-Villagemd, PC (Atlanta, GA) and 1 more organization, listed in the Medicare section above. 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 Nakato Kibuyaga-travis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nakato Kibuyaga-travis 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 Nakato Kibuyaga-travis 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 Nakato Kibuyaga-travis was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.