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DR. WINSTON HAROLD GANDY JR. MD
NPI 1760481477
Internal Medicine - Cardiovascular Disease in Alpharetta, GA

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
11680 GREAT OAKS WAY STE 100, ALPHARETTA, GA 30022(404) 796-7011(404) 796-7099 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2022, Sep 16, 2019 (2 updates tracked since 2019).

About Dr. Winston Harold Gandy Jr. Md NPPES

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

DR. WINSTON HAROLD GANDY JR. MD (NPI 1760481477) is an individual cardiovascular disease provider in Alpharetta, Georgia, licensed in Georgia (030065) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Navicent Health Baldwin, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1760481477
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WINSTON HAROLD GANDY JR.Credential: MD
Location Address11680 GREAT OAKS WAY STE 100Alpharetta, GA 30022-2458
Mailing Address11680 Great Oaks Way Ste 100Alpharetta, GA 30022-2458 · (404) 796-7011 · Fax (404) 796-7099
Phone(404) 796-7011
Fax(404) 796-7099
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1986
Enumeration DateJuly 15, 2005
Last NPPES UpdateJanuary 14, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1760481477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 030065
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
11680 GREAT OAKS WAY STE 100, Alpharetta, GA 30022
Open in Google Maps ↗

Secondary Practice Locations 3

Location 135 W Church St Ste 101Jasper, GA 30143-1618 · Phone (706) 253-2828 · Fax (706) 253-2829
Location 21150 Lake Hearn Dr Ste 650Atlanta, GA 30342-1550 · Phone (404) 796-7011
Location 31150 Lake Hearn Dr Ste 500Atlanta, GA 30342-1570 · Phone (404) 796-7011

Other Identifiers 1

Medicaid000412189JMNOPQRSUGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.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

Dr. Winston Harold Gandy Jr. 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 ID8022073550
PECOS Enrollment IDI20080206000385
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

4

Medicare enrollment records show Winston Gandy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanta Cardiology Associates, LLC
Same address
Cardiovascular Disease
11680 GREAT OAKS WAY STE 100
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
NPI 1275978439 (404) 272-4888
Middle Georgia Heart And Vascular Center, LLC
85 mi
Cardiovascular Disease
6070 LAKESIDE COMMONS DR
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1205113057 (478) 254-2644
Health Services Of Central Georgia, Inc
92 mi
Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group
NPI 1184679482 (478) 633-6713
Phoebe Gastroenterology Associates
169 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669

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 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.
268 services97 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
99 services70 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
62 services31 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
60 services52 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
42 services41 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30022 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
84%436 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,447 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%514 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%641 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%444 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
72%880 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
49%683 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%444 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
79%444 patients5/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$29.68 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers11 claims58 services$10.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers16 claims16 services$37.05 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$14.29 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers20 claims100 services$1.65 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers33 claims33 services$27.73 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 2

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

ATLANTA CARDIOLOGY ASSOCIATES, LLC
Internal Medicine (Cardiovascular Disease)
11680 GREAT OAKS WAY STE 100
ALPHARETTA, GA 30022
Fulton County (404) 272-4888
PENTUS HEALTH WOUNDCARE OF GEORGIA
Clinic/Center (Multi-Specialty)
11680 GREAT OAKS WAY STE 100
ALPHARETTA, GA 30022
Fulton County (855) 539-6863

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 Winston Gandy's NPI number?

The NPI number for Winston Gandy is 1760481477. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Winston Gandy located?

Winston Gandy practices at 11680 Great Oaks Way Ste 100, Alpharetta, GA 30022. The listed phone number is (404) 796-7011.

What is Winston Gandy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Winston Gandy enrolled in Medicare?

Yes. Winston Gandy 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 Winston Gandy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winston Gandy reassigns Medicare benefits to 4 organizations: Atlanta Cardiology Associates, LLC (Alpharetta, GA), Middle Georgia Heart And Vascular Center, LLC (Macon, GA), Health Services Of Central Georgia, Inc (Macon, GA) and Phoebe Gastroenterology Associates (Albany, 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 Winston Gandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Winston Gandy accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Winston Gandy 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 Winston Gandy affiliated with any hospitals?

According to CMS data, Winston Gandy is affiliated with Navicent Health Baldwin.

When was this NPI record last updated?

The NPPES record for Winston Gandy was last updated on January 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.