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DR. CARLOS M GARCIA MD
NPI 1700961257
Internal Medicine in Woodstock, GA

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
120 STONEBRIDGE PKWY, WOODSTOCK, GA 30189(678) 494-2500(678) 494-2629 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carlos M Garcia Md NPPES

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

DR. CARLOS M GARCIA MD (NPI 1700961257) is an individual internal medicine provider in Woodstock, Georgia, licensed in Georgia (055587) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1700961257
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLOS M GARCIACredential: MD
Location Address120 STONEBRIDGE PKWYWoodstock, GA 30189-3767
Mailing Address120 Stonebridge PkwyWoodstock, GA 30189-3767 · (678) 494-2500 · Fax (678) 494-2629
Phone(678) 494-2500
Fax(678) 494-2629
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 31, 2019
✔ NPI 1700961257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 055587
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 055587 (GA)
120 STONEBRIDGE PKWY, Woodstock, GA 30189
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos M Garcia 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 ID9638170525
PECOS Enrollment IDI20070119000125
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.
169 services151 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services41 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
44 services19 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.
34 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
24 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

GEORGIA PAIN MANAGEMENT
Clinic/Center (Pain)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Cherokee County (770) 544-1000
PEACHTREE ORTHOPAEDIC CLINIC, PA
Durable Medical Equipment & Medical Supplies
120 STONEBRIDGE PKWY, SUITE 440
WOODSTOCK, GA 30189
Cherokee County (404) 355-0743
WELLSTAR MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
120 STONEBRIDGE PKWY, SUITE 310
WOODSTOCK, GA 30189
Cherokee County (678) 494-2500
MRS. DEBORAH A KING APRN
Nurse Practitioner (Family)
120 STONEBRIDGE PKWY, SUITE 410
WOODSTOCK, GA 30189
Cherokee County (770) 517-6804
SAMSON PAIN CENTER PC
Clinic/Center (Ambulatory Surgical)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Cherokee County (770) 544-1000
DR. JAMES DAVID ELLNER M.D.
Pain Medicine (Interventional Pain Medicine)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Cherokee County (770) 544-1000
AMY C MURPHY FNP
Nurse Practitioner (Family)
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Cherokee County (678) 250-0700
WELLSTAR URGENT CARE AT TOWNE LAKE, LLC
Emergency Medicine
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Cherokee County (678) 494-2500

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 Carlos Garcia's NPI number?

The NPI number for Carlos Garcia is 1700961257. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Carlos Garcia located?

Carlos Garcia practices at 120 Stonebridge Pkwy, Woodstock, GA 30189. The listed phone number is (678) 494-2500.

What is Carlos Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Garcia enrolled in Medicare?

Yes. Carlos Garcia 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 Carlos Garcia accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Carlos Garcia 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 Carlos Garcia affiliated with any hospitals?

According to CMS data, Carlos Garcia is affiliated with Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Garcia was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.