EUNICE THEODOR FNP
NPI 1720471147
Nurse Practitioner - Family in Douglasville, GA

Active since March 10, 2015PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
8820 HOSPITAL DR, DOUGLASVILLE, GA 30134(770) 947-3000(770) 947-3012 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Nov 8, 2021 (2 updates tracked since 2021).

About Eunice Theodor Fnp NPPES

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

EUNICE THEODOR FNP (NPI 1720471147) is an individual family provider in Douglasville, Georgia, licensed in Georgia (RN244960) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720471147
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEUNICE THEODORCredential: FNP
Location Address8820 HOSPITAL DRDouglasville, GA 30134-2266
Mailing Address8820 Hospital DrDouglasville, GA 30134-2266 · (770) 947-3000 · Fax (770) 947-3012
Fax(770) 947-3012
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 10, 2015
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1720471147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN244960
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0024172755 (VA)
8820 HOSPITAL DR, Douglasville, GA 30134

Other Identifiers 1

Medicaid1720471147VA

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

Eunice Theodor Fnp 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 ID5991011579
PECOS Enrollment IDI20220420000024
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 7

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 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.
120 services111 patients
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.
39 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 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.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Nurse Practitioner
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Family Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8820 HOSPITAL DR
DOUGLASVILLE, GA 30134

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 Eunice Theodor's NPI number?

The NPI number for Eunice Theodor is 1720471147. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Eunice Theodor located?

Eunice Theodor practices at 8820 Hospital Dr, Douglasville, GA 30134. The listed phone number is (770) 947-3000.

What is Eunice Theodor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eunice Theodor enrolled in Medicare?

Yes. Eunice Theodor 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 Eunice Theodor 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 Eunice Theodor 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.

When was this NPI record last updated?

The NPPES record for Eunice Theodor was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.