NICOLAS ANTONIO BIANCHI M.D.
NPI 1629270848
Psychiatry & Neurology - Vascular Neurology in Atlanta, GA

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 251-8877(404) 778-1700 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2023, Dec 17, 2015 (2 updates tracked since 2015).

About Nicolas Antonio Bianchi M.d. NPPES

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

NICOLAS ANTONIO BIANCHI M.D. (NPI 1629270848) is an individual vascular neurology provider in Atlanta, Georgia, licensed in Georgia (74463) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1629270848
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameNICOLAS ANTONIO BIANCHICredential: M.D.
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049 · (404) 251-8877 · Fax (404) 778-1700
Fax(404) 778-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 1, 2007
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1629270848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses Licensed in GA · 74463 Licensed in AR · E-7152 Licensed in FL · ME108276 Licensed in AL · 37488
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
80 JESSE HILL JR DR SE, Atlanta, GA 30303

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 and accepts Medicare assignment

Nicolas Antonio Bianchi 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 ID7416127113
PECOS Enrollment IDI20150901003333
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Nicolas Bianchi's NPI number?

The NPI number for Nicolas Bianchi is 1629270848. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Nicolas Bianchi located?

Nicolas Bianchi practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 251-8877.

What is Nicolas Bianchi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Nicolas Bianchi enrolled in Medicare?

Yes. Nicolas Bianchi 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.

What insurance does Nicolas Bianchi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicolas Bianchi 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.

Is Nicolas Bianchi affiliated with any hospitals?

According to CMS data, Nicolas Bianchi is affiliated with Emory University Hospital and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicolas Bianchi was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.