MARK G HEBERT NP-C
NPI 1831268630
Nurse Practitioner in Atlanta, GA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
2140 PEACHTREE RD NW, SUITE 232, ATLANTA, GA 30309(404) 231-4431(404) 231-5677 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, May 9, 2018 (2 updates tracked since 2018).

About Mark G Hebert Np-c NPPES

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

MARK G HEBERT NP-C (NPI 1831268630) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN116170) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1831268630
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARK G HEBERTCredential: NP-C
Location Address2140 PEACHTREE RD NW, SUITE 232Atlanta, GA 30309-1314
Mailing Address2140 Peachtree Rd Nw Ste 232Atlanta, GA 30309-1316 · (404) 231-4431 · Fax (404) 231-5677
Fax(404) 231-5677
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 7, 2006
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1831268630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in GA · RN116170 Licensed in GA · RN116170 NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2140 PEACHTREE RD NW, Atlanta, GA 30309

Other Identifiers 2

Medicaid208628511AGA
Medicaid702601976AGA

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

Mark G Hebert Np-c 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 ID3173605839
PECOS Enrollment IDI20080204000091
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 12

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.

Detection test by nucleic acid for hiv-1 virus, quantification 87536
This test identifies and measures the amount of HIV-1 virus in your body. It uses a technique called nucleic acid testing to find the virus's genetic material. This information helps monitor your health and manage treatment effectively.
88 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
84 services35 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
83 services36 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
52 services30 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.
32 services21 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
52%174 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
40%40 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%23 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Audiologist
2140 PEACHTREE RD NW, SUITE 350
ATLANTA, GA 30309
Pharmacy (Community/Retail Pharmacy)
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309
Audiologist-Hearing Aid Fitter
2140 PEACHTREE RD NW, SUITE 350
ATLANTA, GA 30309
Internal Medicine (Infectious Disease)
2140 PEACHTREE RD NW, STE 232
ATLANTA, GA 30309
Audiologist
2140 PEACHTREE RD NW, SUITE #350
ATLANTA, GA 30309
Family Medicine
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309
Chiropractor
2140 PEACHTREE RD NW, SUITE 203
ATLANTA, GA 30309
Nurse Practitioner (Family)
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309

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 Mark Hebert's NPI number?

The NPI number for Mark Hebert is 1831268630. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Mark Hebert located?

Mark Hebert practices at 2140 Peachtree Rd NW Suite 232, Atlanta, GA 30309. The listed phone number is (404) 231-4431.

What is Mark Hebert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Hebert enrolled in Medicare?

Yes. Mark Hebert 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 Mark Hebert 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 Mark Hebert 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 Mark Hebert was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.