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MARIEL DANITA HEPBURN
NPI 1851659650
Family Medicine in Ashburn, GA

Active since April 30, 2012PECOS Enrolled
78.41/100
CMS Quality Rating
611 E WASHINGTON AVE, ASHBURN, GA 31714(229) 567-3407(229) 567-4467 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2021, Jan 28, 2016 (2 updates tracked since 2016).

About Mariel Danita Hepburn NPPES

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

MARIEL DANITA HEPBURN (NPI 1851659650) is an individual family medicine provider in Ashburn, Georgia, licensed in Georgia (074668) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851659650
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIEL DANITA HEPBURN
Location Address611 E WASHINGTON AVEAshburn, GA 31714-5315
Mailing Address907 18th St E Ste 400Tifton, GA 31794-3684 · (229) 353-3422
Phone(229) 567-3407
Fax(229) 567-4467
Sole ProprietorNo
Enumeration DateApril 30, 2012
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1851659650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 074668
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
611 E WASHINGTON AVE, Ashburn, GA 31714
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariel Danita Hepburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mariel Hepburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tift Regional Health System Inc.
19 mi
General Acute Care Hospital
901 18TH ST E
Tifton, GA 31794
  • Reassigned Medicare billing, Georgia enrollment
  • 337 clinicians in this Medicare group
NPI 1962462226 (229) 382-7120

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 31714 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Other Providers at the Same Location NPPES 2

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

TIFT REGIONAL HEALTH SYSTEM INC
Clinic/Center (Rural Health)
611 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-3407
JOHN W. DESIMONE MD
Family Medicine
611 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-3407

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 Mariel Hepburn's NPI number?

The NPI number for Mariel Hepburn is 1851659650. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Mariel Hepburn located?

Mariel Hepburn practices at 611 E Washington Ave, Ashburn, GA 31714. The listed phone number is (229) 567-3407.

What is Mariel Hepburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mariel Hepburn enrolled in Medicare?

Yes. Mariel Hepburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariel Hepburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariel Hepburn reassigns Medicare benefits to Tift Regional Health System Inc. (Tifton, GA). The 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 Mariel Hepburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariel Hepburn was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.