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WANDA S GUMBS M.D.
NPI 1679831226
Family Medicine in Atlanta, GA

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
3699 CASCADE RD SW, SUITE B2, ATLANTA, GA 30331(404) 691-7006(404) 691-4609 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda S Gumbs M.d. NPPES

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

WANDA S GUMBS M.D. (NPI 1679831226) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (73086) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679831226
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameWANDA S GUMBSCredential: M.D.
Location Address3699 CASCADE RD SW, SUITE B2Atlanta, GA 30331-2163
Mailing Address3699 Cascade Rd Sw, Suite B2Atlanta, GA 30331-2163 · (404) 691-7006 · Fax (404) 691-4609
Phone(404) 691-7006
Fax(404) 691-4609
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 1, 2012
Last NPPES UpdateApril 12, 2016
✔ NPI 1679831226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 73086
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.
3699 CASCADE RD SW, Atlanta, GA 30331
Open in Google Maps ↗

Accepted Insurance

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

Wanda S Gumbs 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 ID8820307143
PECOS Enrollment IDI20151027001538
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.

Hospital Affiliations CMS Care Compare

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

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 30331 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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
7%91 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%70 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%93 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%107 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
86%97 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
73%55 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

TITANIA W MIRANDA MD
Family Medicine
3699 CASCADE RD SW, SUITE B2
ATLANTA, GA 30331
Fulton County (404) 364-7000
DR. KYRA HARVEY MD
Internal Medicine
3699 CASCADE RD SW, SUITE B
ATLANTA, GA 30331
Fulton County (404) 691-7006
ATLANTA WOMEN'S MEDICAL CARE, INC
Obstetrics & Gynecology
3699 CASCADE RD SW, SUITE A
ATLANTA, GA 30331
Fulton County (404) 346-3417
DR. CELESTE MILLER MD
Family Medicine
3699 CASCADE RD SW, SUITE B1
ATLANTA, GA 30331
Fulton County (404) 691-7006
DR. BELINDA BROWN-SADDLER MD
Family Medicine
3699 CASCADE RD SW, SUITE B
ATLANTA, GA 30331
Fulton County (404) 691-7006

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 Wanda Gumbs's NPI number?

The NPI number for Wanda Gumbs is 1679831226. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Wanda Gumbs located?

Wanda Gumbs practices at 3699 Cascade Rd SW Suite B2, Atlanta, GA 30331. The listed phone number is (404) 691-7006.

What is Wanda Gumbs's specialty?

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

Is Wanda Gumbs enrolled in Medicare?

Yes. Wanda Gumbs 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 Wanda Gumbs accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wanda Gumbs 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 Wanda Gumbs affiliated with any hospitals?

According to CMS data, Wanda Gumbs is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wanda Gumbs was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.