KARLYE COWART
NPI 1790439867
Nurse Practitioner - Family in Gainesville, GA

Active since February 08, 2022PECOS EnrolledAccepts Medicare Assignment
78.35/100
CMS Quality Rating
200 S ENOTA DR NE, GAINESVILLE, GA 30501(770) 637-7196 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karlye Cowart NPPES

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

KARLYE COWART (NPI 1790439867) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN248897) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790439867
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLYE COWART
Location Address200 S ENOTA DR NEGainesville, GA 30501-3473
Mailing Address352 Christopher DrGainesville, GA 30501-2219 · (912) 531-2850
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1790439867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN248897
200 S ENOTA DR NE, Gainesville, GA 30501

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

Karlye Cowart 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 ID8527452507
PECOS Enrollment IDI20220309000395
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 3

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.
771 services573 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
113 services93 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.17
Promoting Interoperability89
Improvement Activities40
Cost60.82

Other Providers at the Same Location NPPES 19

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

Pediatrics (Pediatric Cardiology)
200 S ENOTA DR NE, SUITE 380
GAINESVILLE, GA 30501
Pediatrics
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Physician Assistant (Medical)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE, SUITE 300
GAINESVILLE, GA 30501
Nurse Practitioner
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE, STE 300
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE
GAINESVILLE, GA 30501

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 Karlye Cowart's NPI number?

The NPI number for Karlye Cowart is 1790439867. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Karlye Cowart located?

Karlye Cowart practices at 200 S Enota Dr NE, Gainesville, GA 30501. The listed phone number is (770) 637-7196.

What is Karlye Cowart's specialty?

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

Is Karlye Cowart enrolled in Medicare?

Yes. Karlye Cowart 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.

Is Karlye Cowart affiliated with any hospitals?

According to CMS data, Karlye Cowart is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Karlye Cowart was last updated on February 8, 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.