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QUALIVIA HAWKINS CUMMINGS
NPI 1730682048
Nurse Practitioner - Adult Health in Macon, GA

Active since March 13, 2018PECOS EnrolledAccepts Medicare Assignment
101 PRESTON CT STE 103, MACON, GA 31210(478) 745-2385(478) 745-1225 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2026, Nov 22, 2023, Mar 13, 2018 (3 updates tracked since 2018).

About Qualivia Hawkins Cummings NPPES

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

QUALIVIA HAWKINS CUMMINGS (NPI 1730682048) is an individual adult health provider in Macon, Georgia, licensed in Georgia (RN213019) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730682048
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameQUALIVIA HAWKINS CUMMINGS
Location Address101 PRESTON CT STE 103Macon, GA 31210-5771
Mailing Address325 Stockton CirMacon, GA 31216-6889 · (478) 365-1572
Phone(478) 745-2385
Fax(478) 745-1225
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 13, 2018
Last NPPES UpdateApril 12, 20263 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1730682048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in GA · RN213019✔ Licensed in FL · APRN11041134✔ Licensed in NY · F312754✔ Licensed in CA · NP95035536✔ Licensed in NM · 83465✔ Licensed in IL · 209034379
101 PRESTON CT STE 103, Macon, GA 31210
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Qualivia Hawkins Cummings 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 ID2365781523
PECOS Enrollment IDI20260603004000, I20260609002630, I20260612002259
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Qualivia Cummings reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Hemlock Pain Center, LLC
Same address
Anesthesiology
101 PRESTON COURT, SUITE 103
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1821047069 (478) 745-2385
Dr Rebman Medical PA
528 mi
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, California, Florida, Illinois, New Mexico, New York and Texas enrollments
  • 9 clinicians in this Medicare group
NPI 1669276689 (305) 771-4986
Daniel Funsch Jr, M.D., P.C.
763 mi
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Florida, Illinois, New Mexico and Texas enrollments
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 124 clinicians in this Medicare group
NPI 1316784580 (929) 650-3990
Daniel Funsch Jr, M.D., Professional Corporation
763 mi
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Daniel Funsch Jr MD Professional Corporation
  • 40 clinicians in this Medicare group
NPI 1376389163 (929) 650-3990
Ivy Medical Group PLLC
763 mi
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, California, Florida, Illinois, New Mexico, New York and Texas enrollments
  • 11 clinicians in this Medicare group
NPI 1700558798 (929) 650-3990
Infinite Medical PC
911 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Georgia enrollment
  • 79 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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.

Other Providers at the Same Location NPPES

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

MRS. FLORENCE JOYCE TRIMMINS APRN
Nurse Practitioner
101 PRESTON CT STE 103
MACON, GA 31210
Bibb County (478) 745-2385

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 Qualivia Cummings's NPI number?

The NPI number for Qualivia Cummings is 1730682048. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Qualivia Cummings located?

Qualivia Cummings practices at 101 Preston Ct Ste 103, Macon, GA 31210. The listed phone number is (478) 745-2385.

What is Qualivia Cummings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Qualivia Cummings enrolled in Medicare?

Yes. Qualivia Cummings 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 Qualivia Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qualivia Cummings reassigns Medicare benefits to 6 organizations: The Hemlock Pain Center, LLC (Macon, GA), Dr Rebman Medical PA (Miami, FL), Daniel Funsch Jr, M.D., P.C. (New York, NY), Daniel Funsch Jr, M.D., Professional Corporation (New York, NY), Ivy Medical Group PLLC (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Qualivia Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Qualivia Cummings accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Qualivia Cummings 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 Qualivia Cummings was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.