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MR. THERON E HAWKINS NP
NPI 1699817098
Nurse Practitioner in Gainesville, GA

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501(770) 536-9864(770) 297-5012 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Theron E Hawkins Np NPPES

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

MR. THERON E HAWKINS NP (NPI 1699817098) is an individual nurse practitioner in Gainesville, Georgia, licensed in Georgia (RN101168) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1699817098
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. THERON E HAWKINSCredential: NP
Location Address1240 JESSE JEWELL PKWY SE, SUITE 500Gainesville, GA 30501-3862
Mailing Address1240 Jesse Jewell Pkwy Se, Suite 500Gainesville, GA 30501-3862 · (770) 536-9864 · Fax (770) 297-5012
Phone(770) 536-9864
Fax(770) 297-5012
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMay 19, 2009
✔ NPI 1699817098 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 · RN101168
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.
1240 JESSE JEWELL PKWY SE, Gainesville, GA 30501
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Other Identifiers 4

Medicaid000885475FGA
Other01240267GA · Amerigroup
Other473153GA · Wellcare
Medicare PIN511I500809GA

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. Theron E Hawkins 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 ID6507960093
PECOS Enrollment IDI20070322000095
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
260 services190 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services171 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
39 services37 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
34 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.98
Promoting Interoperability94
Improvement Activities40
Cost77.6

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers15 claims15 services$925.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers64 claims64 services$108.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier47 claims47 services$37.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$36.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PRIMARY CARE CLINICS OF GEORGIA
Family Medicine
1240 JESSE JEWELL PKWY SE, SUITE 370
GAINESVILLE, GA 30501
Hall County (770) 536-1004
ROBERTO MANUEL VILLANUEVA M.D.
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
MATTHEY T HARRIS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
JOSEPH EUGENE WEST MD
Internal Medicine (Pulmonary Disease)
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
DR. RYAN NOELLE FOGG M.D.
Urology
1240 JESSE JEWELL PKWY SE, STE 200
GAINESVILLE, GA 30501
Hall County (770) 532-8438
DR. BRENT JOSEPH ARCHER M.D.
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864
ROBERT J MARASCALCO M.D.
Orthopaedic Surgery
1240 JESSE JEWELL PKWY SE, SUITE 300
GAINESVILLE, GA 30501
Hall County (770) 532-7202
SEAN M SUMNER M.D.
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Hall County (770) 536-9864

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 Theron Hawkins's NPI number?

The NPI number for Theron Hawkins is 1699817098. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Theron Hawkins located?

Theron Hawkins practices at 1240 Jesse Jewell Pkwy SE Suite 500, Gainesville, GA 30501. The listed phone number is (770) 536-9864.

What is Theron Hawkins's specialty?

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

Is Theron Hawkins enrolled in Medicare?

Yes. Theron Hawkins 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.

Is Theron Hawkins affiliated with any hospitals?

According to CMS data, Theron Hawkins is affiliated with Northeast Georgia Medical Center, Inc and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Theron Hawkins was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.