PRIYA BARONIA MD
NPI 1710122684
Internal Medicine in Stockbridge, GA
About Priya Baronia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYA BARONIA MD (NPI 1710122684) is an individual internal medicine provider in Stockbridge, Georgia, licensed in Georgia (062945) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Redmond Regional Medical Center, and maintains a secondary practice location in Buford.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Priya Baronia 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.
Medicare Billing Reassignments
4Medicare enrollment records show Priya Baronia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Buford, GA 30518
- Reassigned Medicare billing, Georgia enrollment
- 2 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Redmond Regional Medical Center
Acute Care Hospitals · Rome, GAPiedmont Henry Hospital
Acute Care Hospitals · Stockbridge, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
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 Priya Baronia's NPI number?
The NPI number for Priya Baronia is 1710122684. It was assigned to this individual provider in the NPPES registry on December 8, 2008.
Where is Priya Baronia located?
Priya Baronia practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-5901.
What is Priya Baronia's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Priya Baronia enrolled in Medicare?
Yes. Priya Baronia 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 Priya Baronia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Baronia reassigns Medicare benefits to 4 organizations: Piedmont Hospitalist Physicians LLC (Stockbridge, GA), The Southeast Permanente Medical Group (Atlanta, GA), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and Florence Primary Care (Buford, GA). 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 Priya Baronia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Baronia accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Priya Baronia 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 Priya Baronia affiliated with any hospitals?
According to CMS data, Priya Baronia is affiliated with Redmond Regional Medical Center and Piedmont Henry Hospital.
When was this NPI record last updated?
The NPPES record for Priya Baronia was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.