MISTY GROVE
NPI 1689057879
Nurse Practitioner - Family in Columbus, GA
About Misty Grove NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY GROVE (NPI 1689057879) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN170056) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Misty Grove 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.
Medicare Billing Reassignments
7Medicare enrollment records show Misty Grove reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 292 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 200 clinicians in this Medicare group
Columbus, GA 31909
- Reassigned Medicare billing, Georgia enrollment
- 165 clinicians in this Medicare group
Columbus, GA 31901
- Reassigned Medicare billing, Georgia enrollment
- 163 clinicians in this Medicare group
Thomaston, GA 30286
- Reassigned Medicare billing, Georgia enrollment
- 59 clinicians in this Medicare group
Atlanta, GA 30331
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 105 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 5
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.
Hospital Affiliations CMS Care Compare 2
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, GASt Francis Hospital- Emory Healthcare
Acute Care Hospitals · Columbus, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLUMBUS, GA 31904
COLUMBUS, GA 31904
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 Misty Grove's NPI number?
The NPI number for Misty Grove is 1689057879. It was assigned to this individual provider in the NPPES registry on July 7, 2015.
Where is Misty Grove located?
Misty Grove practices at 2122 Manchester Expy, Columbus, GA 31904. The listed phone number is (706) 320-2773.
What is Misty Grove's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Misty Grove enrolled in Medicare?
Yes. Misty Grove 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 Misty Grove's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty Grove reassigns Medicare benefits to 7 organizations: St Francis Physician Practices LLC (Columbus, GA), Inphynet Primary Care Physicians Southeast PC (Columbus, GA), Benning Hospitalist Services, LLC (Columbus, GA), Muscogee Hospitalist Services, LLC (Columbus, GA), Hightower Physician Services, PC (Thomaston, 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 Misty Grove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Misty Grove accept?
Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Misty Grove 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 Misty Grove affiliated with any hospitals?
According to CMS data, Misty Grove is affiliated with Wellstar West Georgia Medical Center and St Francis Hospital- Emory Healthcare.
When was this NPI record last updated?
The NPPES record for Misty Grove was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Misty Grove · NPI 1689057879
Family physician in Columbus, Georgia. Individual provider, active in the CMS NPPES registry since July 7, 2015.
## Identity
- **NPI:** 1689057879 (Entity type: Individual)
- **Enumerated:** July 7, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN170056 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2122 MANCHESTER EXPY, Columbus, GA 31904-6878
- **Phone:** (706) 320-2773 · **Fax:** (706) 596-4226
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): St Francis Physician Practices LLC (NPI 1033584479, Columbus, GA); Inphynet Primary Care Physicians Southeast PC (NPI 1770521460, Columbus, GA); Benning Hospitalist Services, LLC (NPI 1215442173, Columbus, GA); Muscogee Hospitalist Services, LLC (NPI 1639681851, Columbus, GA); Hightower Physician Services, PC (NPI 1891296620, Thomaston, GA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1689057879) · Data from the CMS NPPES public registry.