BRIAN A HORTON NP
NPI 1679722672
Nurse Practitioner in Lagrange, GA

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
86.39/100
CMS Quality Rating
1514 VERNON RD, LAGRANGE, GA 30240(706) 882-1411 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian A Horton Np NPPES

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

BRIAN A HORTON NP (NPI 1679722672) is an individual nurse practitioner in Lagrange, Georgia, licensed in Georgia (F0708791) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1679722672
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRIAN A HORTONCredential: NP
Location Address1514 VERNON RDLagrange, GA 30240-4131
Mailing Address5665 New Northside Dr Nw, Suite 320Atlanta, GA 30328-5831 · (770) 874-5400 · Fax (770) 874-5469
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 15, 2008
✔ NPI 1679722672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · F0708791
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.
1514 VERNON RD, Lagrange, GA 30240

Accepted 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

Brian A Horton Np 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 ID7315994480
PECOS Enrollment IDI20210519000787
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

7

Medicare enrollment records show Brian Horton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1514 VERNON RD
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 144 clinicians in this Medicare group
Emergency Medicine
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 173 clinicians in this Medicare group
Emergency Medicine
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
Emergency Medicine
2360 ROCKMART HWY
Cedartown, GA 30125
  • Reassigned Medicare billing, Georgia enrollment
  • 102 clinicians in this Medicare group
Emergency Medicine
400 NORTHWOOD DR
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 50 clinicians in this Medicare group
Hospitalist
400 NORTHWOOD DR
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 43 clinicians in this Medicare group

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services43 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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.

86.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.77
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.

Nurse Anesthetist, Certified Registered
1514 VERNON RD
LAGRANGE, GA 30240
Radiology (Diagnostic Radiology)
1514 VERNON RD
LAGRANGE, GA 30240
Nurse Practitioner
1514 VERNON RD
LAGRANGE, GA 30240
Internal Medicine
1514 VERNON RD
LAGRANGE, GA 30240
Dietitian, Registered
1514 VERNON RD
LAGRANGE, GA 30240
Hospitalist
1514 VERNON RD
LAGRANGE, GA 30240
Radiology (Diagnostic Radiology)
1514 VERNON RD
LAGRANGE, GA 30240
Physical Therapist
1514 VERNON RD
LAGRANGE, GA 30240

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 Brian Horton's NPI number?

The NPI number for Brian Horton is 1679722672. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Brian Horton located?

Brian Horton practices at 1514 Vernon Rd, Lagrange, GA 30240. The listed phone number is (706) 882-1411.

What is Brian Horton's specialty?

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

Is Brian Horton enrolled in Medicare?

Yes. Brian Horton 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 Brian Horton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Horton reassigns Medicare benefits to 7 organizations: Lagrange Emergency Physicians, LLC (Lagrange, GA), Heritage Physician Services, LLC (Columbus, GA), Emergency Group Of Columbus, LLC (Columbus, GA), The Bortolazzo Group, LLC (Austell, GA), Etowah Emergency Physicians, LLC (Cedartown, GA) and 2 more organizations, 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 Brian Horton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Horton accept?

Health plans from Blue Cross and Blue Shield of Alabama list Brian Horton 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 Brian Horton was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.