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MIRIAM P GWATHNEY DO
NPI 1881698546
Family Medicine in Forest Park, GA

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
1057 MAIN ST, FOREST PARK, GA 30297(404) 301-4555(404) 301-4482 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2023, Jan 10, 2022, May 18, 2016 (3 updates tracked since 2016).

About Miriam P Gwathney Do NPPES

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

MIRIAM P GWATHNEY DO (NPI 1881698546) is an individual family medicine provider in Forest Park, Georgia, licensed in Georgia (063343) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1881698546
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRIAM P GWATHNEYCredential: DO
Location Address1057 MAIN STForest Park, GA 30297-1482
Mailing Address1057 Main StForest Park, GA 30297-1482 · (404) 301-4555 · Fax (404) 301-4482
Phone(404) 301-4555
Fax(404) 301-4482
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateJune 10, 2005
Last NPPES UpdateMay 2, 20233 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1881698546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 063343✔ Licensed in GA · OS8157
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.
1057 MAIN ST, Forest Park, GA 30297
Open in Google Maps ↗

Other Identifiers 1

Medicaid261406500FL

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

Miriam P Gwathney Do 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 ID6800968025
PECOS Enrollment IDI20251029003085
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.

Hospital Affiliations CMS Care Compare

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30297 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.

Other Providers at the Same Location NPPES 5

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

PMR GEORGIA HOLDING, LLC
Non-Pharmacy Dispensing Site
1057 MAIN ST
FOREST PARK, GA 30297
Clayton County (404) 301-4555
CRISP & ASSOCIATES III, LLC
Durable Medical Equipment & Medical Supplies
1057 MAIN ST, SUITE C
FOREST PARK, GA 30297
Clayton County (404) 362-6901
C & W DURABLE MEDICAL EQUIPMENT
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1057 MAIN ST, SUITE C
FOREST PARK, GA 30297
Clayton County (404) 362-6901
CHRISTIANS MEDICAL EQUIPMENT & SUPPLIES INC.
Durable Medical Equipment & Medical Supplies
1057 MAIN ST, SUITE C
FOREST PARK, GA 30297
Clayton County (404) 362-6901
MR. MANU JACOB GEORGE MD
Internal Medicine
1057 MAIN ST
FOREST PARK, GA 30297
Clayton County (404) 301-4555

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 Miriam Gwathney's NPI number?

The NPI number for Miriam Gwathney is 1881698546. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Miriam Gwathney located?

Miriam Gwathney practices at 1057 Main St, Forest Park, GA 30297. The listed phone number is (404) 301-4555.

What is Miriam Gwathney's specialty?

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

Is Miriam Gwathney enrolled in Medicare?

Yes. Miriam Gwathney 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.

Is Miriam Gwathney affiliated with any hospitals?

According to CMS data, Miriam Gwathney is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Miriam Gwathney was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.