DR. NICOLE P CARBONELL MD
NPI 1699889865
Emergency Medicine in Austell, GA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
98.65/100
CMS Quality Rating
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicole P Carbonell Md NPPES

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

DR. NICOLE P CARBONELL MD (NPI 1699889865) is an individual emergency medicine provider in Austell, Georgia, licensed in Georgia (056417) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and is a graduate of Emory University School Of Medicine (2001).

NPPES Registry Identity

NPI1699889865
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICOLE P CARBONELLCredential: MD
Location Address3950 AUSTELL RDAustell, GA 30106-1121
Mailing Address14030 Crabapple Lake DrRoswell, GA 30076-4264 · (678) 462-1711
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2001
Enumeration DateAugust 17, 2006
Last NPPES UpdateDecember 30, 2010
NPI 1699889865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in GA · 056417 Licensed in AL · 25112
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3950 AUSTELL RD, Austell, GA 30106

Other Identifiers 7

Other6611384100GA · Dol
Medicare UPINH78603GA
Medicare ID-Type Unspecified93BFBFRGA · Medicare Kcpd
Medicaid244750062BGA
Medicaid244750062CGA
Medicaid244750062AGA
Medicaid244750062DGA

Accepted 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

Dr. Nicole P Carbonell Md 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 ID5193756559
PECOS Enrollment IDI20171027002521, I20230919002195
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 4

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.
60 services60 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
39 services31 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.
30 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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.

98.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$15.56 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
5 suppliers58 claims59 services$69.39 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 suppliers33 claims33 services$32.48 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.

Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106

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 Nicole Carbonell's NPI number?

The NPI number for Nicole Carbonell is 1699889865. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Nicole Carbonell located?

Nicole Carbonell practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.

What is Nicole Carbonell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicole Carbonell enrolled in Medicare?

Yes. Nicole Carbonell 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 Nicole Carbonell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas, Inc., Medica and Molina Healthcare list Nicole Carbonell 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 Nicole Carbonell affiliated with any hospitals?

According to CMS data, Nicole Carbonell is affiliated with Centura St. Catherine Hospital-Garden City and Regional West Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Carbonell was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.