JOSHUA SHANE FOUNTAIN
NPI 1831855865
Nurse Practitioner - Critical Care Medicine in Atlanta, GA

Active since November 15, 2021PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-1000 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2022, Nov 15, 2021 (2 updates tracked since 2021).

About Joshua Shane Fountain NPPES

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

JOSHUA SHANE FOUNTAIN (NPI 1831855865) is an individual critical care medicine provider in Atlanta, Georgia, licensed in Georgia (RN247882) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831855865
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameJOSHUA SHANE FOUNTAIN
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address934 Garibaldi St SwAtlanta, GA 30310-3134 · (470) 967-4841
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 15, 2021
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1831855865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in GA · RN247882
80 JESSE HILL JR DR SE, Atlanta, GA 30303

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

Joshua Shane Fountain 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 ID6709267511
PECOS Enrollment IDI20220725001969, I20260126002010
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

3

Medicare enrollment records show Joshua Fountain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services32 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

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
$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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

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 Joshua Fountain's NPI number?

The NPI number for Joshua Fountain is 1831855865. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Joshua Fountain located?

Joshua Fountain practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-1000.

What is Joshua Fountain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Joshua Fountain enrolled in Medicare?

Yes. Joshua Fountain 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 Joshua Fountain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Fountain reassigns Medicare benefits to 3 organizations: Grady Memorial Hospital Corporation (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA) and New York University (Boynton Beach, FL). 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 Joshua Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Fountain accept?

Health plans from Ambetter Health list Joshua Fountain 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 Joshua Fountain affiliated with any hospitals?

According to CMS data, Joshua Fountain is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Joshua Fountain was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.