MR. JOHN M PRACHT PA-C
NPI 1679616403
Physician Assistant in Atlanta, GA

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1100 LAKE HEARN DR NE, SUITE #450, ATLANTA, GA 30342(404) 252-7339(404) 257-0337 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John M Pracht Pa-c NPPES

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

MR. JOHN M PRACHT PA-C (NPI 1679616403) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (004985) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Emory University School Of Medicine (2006).

NPPES Registry Identity

NPI1679616403
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN M PRACHTCredential: PA-C
Location Address1100 LAKE HEARN DR NE, SUITE #450Atlanta, GA 30342-1523
Mailing Address1100 Lake Hearn Dr Ne, Suite #450Atlanta, GA 30342-1523 · (404) 252-7339 · Fax (404) 257-0337
Fax(404) 257-0337
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2006
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1679616403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 004985
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 LAKE HEARN DR NE, Atlanta, GA 30342

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

Mr. John M Pracht Pa-c 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 ID4082934658
PECOS Enrollment IDI20150521001391
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Respiratory Therapist, Certified
1100 LAKE HEARN DR NE, STE #450
ATLANTA, GA 30342
Pediatrics
1100 LAKE HEARN DR NE, SUITE 100
ATLANTA, GA 30342
Registered Nurse (Pediatrics)
1100 LAKE HEARN DR NE, SUITE 450
ATLANTA, GA 30342
Specialist
1100 LAKE HEARN DR NE, STE. 100
ATLANTA, GA 30342
Respiratory Therapist, Certified
1100 LAKE HEARN DR NE, SUITE #450
ATLANTA, GA 30342
Registered Nurse (Pediatrics)
1100 LAKE HEARN DR NE, SUITE 450
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
1100 LAKE HEARN DR NE, STE 100
ATLANTA, GA 30342
Pediatrics
1100 LAKE HEARN DR NE, SUITE 100
ATLANTA, GA 30342

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 John Pracht's NPI number?

The NPI number for John Pracht is 1679616403. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is John Pracht located?

John Pracht practices at 1100 Lake Hearn Dr NE Suite #450, Atlanta, GA 30342. The listed phone number is (404) 252-7339.

What is John Pracht's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Pracht enrolled in Medicare?

Yes. John Pracht 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 John Pracht accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list John Pracht 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 John Pracht affiliated with any hospitals?

According to CMS data, John Pracht is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for John Pracht was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.