MONICA LYNN GILBERT M.D.
NPI 1811092828
Hospitalist in Marietta, GA
About Monica Lynn Gilbert M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONICA LYNN GILBERT M.D. (NPI 1811092828) is an individual hospitalist provider in Marietta, Georgia, licensed in Georgia (057305) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Monica Lynn Gilbert 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
2Medicare enrollment records show Monica Gilbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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 2
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.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30067 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.
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Monica Gilbert's NPI number?
The NPI number for Monica Gilbert is 1811092828. It was assigned to this individual provider in the NPPES registry on September 14, 2006.
Where is Monica Gilbert located?
Monica Gilbert practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (770) 732-4022.
What is Monica Gilbert's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Monica Gilbert enrolled in Medicare?
Yes. Monica Gilbert 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 Monica Gilbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Gilbert reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and The Emory Clinic Inc (Atlanta, 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 Monica Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Gilbert 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 Monica Gilbert 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 Monica Gilbert affiliated with any hospitals?
According to CMS data, Monica Gilbert is affiliated with Wellstar Kennestone Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Monica Gilbert was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Monica Lynn Gilbert, M.D. · NPI 1811092828
Hospitalist physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1811092828 (Entity type: Individual)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 057305 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2540 WINDY HILL RD SE, Marietta, GA 30067
- **Phone:** (770) 732-4022 · **Fax:** (770) 732-4023
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1629361605, Marietta, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** October 14, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1811092828) · Data from the CMS NPPES public registry.