AMBREEN S ANSARI D.O.
NPI 1780045310
Family Medicine in Athens, GA

Active since March 09, 2016PECOS EnrolledAccepts Medicare Assignment
855 W BROAD ST STE A, ATHENS, GA 30601(706) 850-6134 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2021, Sep 17, 2020 (2 updates tracked since 2020).

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

NPI1780045310
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBREEN S ANSARICredential: D.O.
Location Address855 W BROAD ST STE AAthens, GA 30601-2511
Mailing Address1016 E Spring StMonroe, GA 30655-2469 · (770) 464-0280 · Fax (770) 464-0233
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 9, 2016
Last NPPES UpdateJune 29, 20222 updates tracked since enumeration
NPPES CertifiedJune 29, 2022
NPI 1780045310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 86484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
855 W BROAD ST STE A, Athens, GA 30601

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

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.

PECOS PAC ID5890113542
PECOS Enrollment IDI20200914000754
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 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.

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.
72 services38 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.
34 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
34 services34 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
34 services34 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.
24 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

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, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician 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.

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 4

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

Family Medicine
855 W BROAD ST STE A
ATHENS, GA 30601
Internal Medicine
855 W BROAD ST STE A
ATHENS, GA 30601
Family Medicine
855 W BROAD ST STE A
ATHENS, GA 30601
Physician Assistant
855 W BROAD ST STE A
ATHENS, GA 30601

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.

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.