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MARCELINE NANGAH AWASOM NP
NPI 1619504800
Nurse Practitioner - Family in Bethlehem, GA

Active since March 26, 2020PECOS Enrolled
2543 ZABLAN AVE, BETHLEHEM, GA 30620(912) 596-6407 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marceline Nangah Awasom Np NPPES

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

MARCELINE NANGAH AWASOM NP (NPI 1619504800) is an individual family provider in Bethlehem, Georgia, licensed in Georgia (F01201684) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619504800
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARCELINE NANGAH AWASOMCredential: NP
Location Address2543 ZABLAN AVEBethlehem, GA 30620-7653
Mailing Address2543 Zablan AveBethlehem, GA 30620-7653 · (912) 596-6407
Phone(912) 596-6407
Sole ProprietorNo
Enumeration DateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
✔ NPI 1619504800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · F01201684
2543 ZABLAN AVE, Bethlehem, GA 30620
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marceline Nangah Awasom Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Marceline Awasom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Restored Health Inc.
19 mi
Family Medicine
483 INDIAN TRAIL LILBURN RD NW
Lilburn, GA 30047
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1225242308 (770) 923-4433

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 30620 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.

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 Marceline Awasom's NPI number?

The NPI number for Marceline Awasom is 1619504800. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Marceline Awasom located?

Marceline Awasom practices at 2543 Zablan Ave, Bethlehem, GA 30620. The listed phone number is (912) 596-6407.

What is Marceline Awasom's specialty?

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

Is Marceline Awasom enrolled in Medicare?

Yes. Marceline Awasom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marceline Awasom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marceline Awasom reassigns Medicare benefits to Restored Health Inc. (Lilburn, 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 Marceline Awasom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marceline Awasom accept?

Health plans from CareSource (Common Ground Healthcare) list Marceline Awasom 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 Marceline Awasom was last updated on March 26, 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.