AMBREEN S ANSARI D.O.
NPI 1780045310
Family Medicine in Athens, GA
About Ambreen S Ansari D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBREEN S ANSARI D.O. (NPI 1780045310) is an individual family medicine provider in Athens, Georgia, licensed in Georgia (86484) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Ambreen S Ansari D.o. 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 Reassignment
Medicare enrollment records show Ambreen Ansari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 17 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Walton Hospital
Acute Care Hospitals · Monroe, GAPiedmont Eastside Medical Center
Acute Care Hospitals · Snellville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ambreen Ansari's NPI number?
The NPI number for Ambreen Ansari is 1780045310. It was assigned to this individual provider in the NPPES registry on March 9, 2016.
Where is Ambreen Ansari located?
Ambreen Ansari practices at 855 W Broad St Ste A, Athens, GA 30601. The listed phone number is (706) 850-6134.
What is Ambreen Ansari's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ambreen Ansari enrolled in Medicare?
Yes. Ambreen Ansari 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 organization bills Medicare for Ambreen Ansari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ambreen Ansari reassigns Medicare benefits to Our Family Health Center (Monroe, GA). The 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 Ambreen Ansari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ambreen Ansari 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 Ambreen Ansari 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 Ambreen Ansari affiliated with any hospitals?
According to CMS data, Ambreen Ansari is affiliated with Piedmont Walton Hospital and Piedmont Eastside Medical Center.
When was this NPI record last updated?
The NPPES record for Ambreen Ansari was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ambreen S Ansari, D.O. · NPI 1780045310
Family Medicine physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since March 9, 2016.
## Identity
- **NPI:** 1780045310 (Entity type: Individual)
- **Enumerated:** March 9, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 86484 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 855 W BROAD ST STE A, Athens, GA 30601-2511
- **Phone:** (706) 850-6134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Family Health Center (NPI 1184879843, Monroe, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780045310) · Data from the CMS NPPES public registry.