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MARIETTA PANA OLAIVAR-LOMBOY NP
NPI 1699786327
Nurse Practitioner - Adult Health in Perry, GA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
1018 KEITH DRIVE, SUITE A, PERRY, GA 31069(478) 987-7444(478) 987-7747 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marietta Pana Olaivar-lomboy Np NPPES

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

MARIETTA PANA OLAIVAR-LOMBOY NP (NPI 1699786327) is an individual adult health provider in Perry, Georgia, licensed in Georgia (118138) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Emory University School Of Medicine (1992).

NPPES Registry Identity

NPI1699786327
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARIETTA PANA OLAIVAR-LOMBOYCredential: NP
Location Address1018 KEITH DRIVE, SUITE APerry, GA 31069-2948
Mailing Address1018 Keith Dr, Suite APerry, GA 31069-2947 · (478) 987-7444 · Fax (478) 987-7747
Phone(478) 987-7444
Fax(478) 987-7747
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1992
Enumeration DateAugust 10, 2006
Last NPPES UpdateMay 11, 2015
✔ NPI 1699786327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · 118138
1018 KEITH DRIVE, Perry, GA 31069
Open in Google Maps ↗

Accepted Insurance

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

Marietta Pana Olaivar-lomboy 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 ID3375454101
PECOS Enrollment IDI20061026000288
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 Reassignment

Medicare enrollment records show Marietta Olaivar-lomboy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Houston Internal Medicine
Same address
Internal Medicine
1018 KEITH DR, SUITE A
Perry, GA 31069
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1619089653 (478) 987-7444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31069 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.

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 Marietta Olaivar-lomboy's NPI number?

The NPI number for Marietta Olaivar-lomboy is 1699786327. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Marietta Olaivar-lomboy located?

Marietta Olaivar-lomboy practices at 1018 Keith Drive Suite A, Perry, GA 31069. The listed phone number is (478) 987-7444.

What is Marietta Olaivar-lomboy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marietta Olaivar-lomboy enrolled in Medicare?

Yes. Marietta Olaivar-lomboy 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 organization bills Medicare for Marietta Olaivar-lomboy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marietta Olaivar-lomboy reassigns Medicare benefits to South Houston Internal Medicine (Perry, GA). The 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 Marietta Olaivar-lomboy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marietta Olaivar-lomboy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Marietta Olaivar-lomboy 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 Marietta Olaivar-lomboy affiliated with any hospitals?

According to CMS data, Marietta Olaivar-lomboy is affiliated with Houston Healthcare.

When was this NPI record last updated?

The NPPES record for Marietta Olaivar-lomboy was last updated on May 11, 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.