AYANA NICOLE HERBERT MD
NPI 1790729911
Emergency Medicine in Decatur, GA

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
2701 NORTH DECATUR ROAD, DECATUR, GA 30033(404) 501-1849 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ayana Nicole Herbert Md NPPES

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

AYANA NICOLE HERBERT MD (NPI 1790729911) is an individual emergency medicine provider in Decatur, Georgia, licensed in Georgia (055596) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790729911
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameAYANA NICOLE HERBERTCredential: MD
Location Address2701 NORTH DECATUR ROADDecatur, GA 30033
Mailing Address2100 Powell Street, Ste 920Emeryville, CA 94608-1803 · (510) 350-2777
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 16, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1790729911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 055596
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2701 NORTH DECATUR ROAD, Decatur, GA 30033

Other Names 1

Former Name (1)Ayana Baker Md

Other Identifiers 2

Medicaid457381148DGA
Medicaid457381148EGA

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

Ayana Nicole Herbert 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 ID3870546344
PECOS Enrollment IDI20050224000233
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 15

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

Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Physician Assistant
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Physician Assistant
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Pathology (Anatomic Pathology & Clinical Pathology)
2701 NORTH DECATUR ROAD, PATHOLOGY DEPT
DECATUR, GA 30033
Physician Assistant
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033

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 Ayana Herbert's NPI number?

The NPI number for Ayana Herbert is 1790729911. It was assigned to this individual provider in the NPPES registry on June 16, 2006. The provider is also known as Ayana Baker MD.

Where is Ayana Herbert located?

Ayana Herbert practices at 2701 North Decatur Road, Decatur, GA 30033. The listed phone number is (404) 501-1849.

What is Ayana Herbert's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ayana Herbert enrolled in Medicare?

Yes. Ayana Herbert 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 Ayana Herbert accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Ayana Herbert 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 Ayana Herbert affiliated with any hospitals?

According to CMS data, Ayana Herbert is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Ayana Herbert was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.