JUNE TIBALEKA MD
NPI 1891115465
Emergency Medicine in Newnan, GA

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265(770) 502-2112(770) 502-2113 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Jul 21, 2022, Sep 11, 2017 (3 updates tracked since 2017).

About June Tibaleka Md NPPES

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

JUNE TIBALEKA MD (NPI 1891115465) is an individual emergency medicine provider in Newnan, Georgia, licensed in Georgia (86579) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Duke University School Of Medicine (2013).

NPPES Registry Identity

NPI1891115465
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJUNE TIBALEKACredential: MD
Location Address1825 HIGHWAY 34 E STE 1200Newnan, GA 30265-6416
Mailing Address3375 Spring Hill Pkwy Se Apt 318Smyrna, GA 30080-6805 · (443) 939-5848
Fax(770) 502-2113
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2013
Enumeration DateApril 22, 2014
Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1891115465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in GA · 86579 Licensed in NM · MD2017-0609
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1825 HIGHWAY 34 E STE 1200, Newnan, GA 30265

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

June Tibaleka Md 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 ID8729382841
PECOS Enrollment IDI20200904001890
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services56 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
49 services42 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Physician Assistant (Medical)
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Clinic/Center (Urgent Care)
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Emergency Medicine
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Clinic/Center
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265

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 June Tibaleka's NPI number?

The NPI number for June Tibaleka is 1891115465. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is June Tibaleka located?

June Tibaleka practices at 1825 Highway 34 E Ste 1200, Newnan, GA 30265. The listed phone number is (770) 502-2112.

What is June Tibaleka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is June Tibaleka enrolled in Medicare?

Yes. June Tibaleka 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 June Tibaleka accept?

Health plans from Oscar Insurance Company list June Tibaleka 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 June Tibaleka affiliated with any hospitals?

According to CMS data, June Tibaleka is affiliated with Piedmont Newton Hospital.

When was this NPI record last updated?

The NPPES record for June Tibaleka was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.