DR. MADELINE Y SUTTON MD
NPI 1811033327
Obstetrics & Gynecology in Atlanta, GA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-5800(404) 756-1402 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2016, Aug 19, 2016, Nov 11, 2015 (3 updates tracked since 2015).

About Dr. Madeline Y Sutton Md NPPES

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

DR. MADELINE Y SUTTON MD (NPI 1811033327) is an individual obstetrics & gynecology provider in Atlanta, Georgia, licensed in Georgia (045017) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1811033327
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MADELINE Y SUTTONCredential: MD
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address720 Westview Dr Sw, Suite 100-aAtlanta, GA 30310-1458 · (404) 756-1400 · Fax (404) 756-1402
Fax(404) 756-1402
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 22, 20163 updates tracked since enumeration
✔ NPI 1811033327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 045017
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
80 JESSE HILL JR DR SE, Atlanta, GA 30303

Other Identifiers 5

Medicaid003130263AGA
Medicaid716712818AGA
Medicaid003130263CGA
Medicare PIN202I167141GA
Medicare UPINH09877GA

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. Madeline Y Sutton 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 ID4183878960
PECOS Enrollment IDI20130201000165
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Madeline Sutton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
Family Medicine
2850 PACES FERRY RD SE
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
Radiology
157 TOWNE DR STE 101
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Obstetrics & Gynecology
200 PERIMETER PARK DR STE B
Morrisville, NC 27560
  • Reassigned Medicare billing, Georgia enrollment
  • 8 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 20

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

Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Madeline Sutton's NPI number?

The NPI number for Madeline Sutton is 1811033327. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Madeline Sutton located?

Madeline Sutton practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-5800.

What is Madeline Sutton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Madeline Sutton enrolled in Medicare?

Yes. Madeline Sutton 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 Madeline Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Sutton reassigns Medicare benefits to 5 organizations: Morehouse Healthcare, Inc. (Atlanta, GA), Wellstar Medical Group, LLC (Atlanta, GA), Obhg Georgia, P.C. (Athens, GA), Community Medical Associates (Elizabethtown, KY) and Uwh Of The Carolinas, PLLC (Morrisville, NC). 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 Madeline Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Sutton accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Madeline Sutton 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.

When was this NPI record last updated?

The NPPES record for Madeline Sutton was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.