DR. MARIO DEAUNDRA INGRAM M.D.
NPI 1790985299
Hospitalist in Gainesville, GA
About Dr. Mario Deaundra Ingram M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIO DEAUNDRA INGRAM M.D. (NPI 1790985299) is an individual hospitalist provider in Gainesville, Georgia, licensed in Georgia (61093) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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
Dr. Mario Deaundra Ingram M.d. 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 Reassignments
3Medicare enrollment records show Mario Ingram reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAPhysician 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.
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.
Other Providers at the Same Location NPPES 20
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 Mario Ingram's NPI number?
The NPI number for Mario Ingram is 1790985299. It was assigned to this individual provider in the NPPES registry on July 23, 2007.
Where is Mario Ingram located?
Mario Ingram practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.
What is Mario Ingram's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mario Ingram enrolled in Medicare?
Yes. Mario Ingram 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 Mario Ingram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Ingram reassigns Medicare benefits to 3 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), North Atlanta Professional Services LLC (Atlanta, GA) and 24 On Physicians, PC (Rome, 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 Mario Ingram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Ingram accept?
Health plans from Oscar Health list Mario Ingram 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 Mario Ingram affiliated with any hospitals?
According to CMS data, Mario Ingram is affiliated with Northside Hospital Forsyth.
When was this NPI record last updated?
The NPPES record for Mario Ingram was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Mario Deaundra Ingram, M.D. · NPI 1790985299
Hospitalist physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since July 23, 2007.
## Identity
- **NPI:** 1790985299 (Entity type: Individual)
- **Enumerated:** July 23, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 61093 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (770) 219-9000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); 24 On Physicians, PC (NPI 1912956251, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 7, 2020
- **Other identifiers:** Medicaid 095225920C (GA); Medicaid 095225920D (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790985299) · Data from the CMS NPPES public registry.