CARLOS ALBERTO PRAYS M.D.
NPI 1902256555
Family Medicine in Atlanta, GA
About Carlos Alberto Prays M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS ALBERTO PRAYS M.D. (NPI 1902256555) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (83748) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Carlos Alberto Prays M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Carlos Prays reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 240 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 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carlos Prays's NPI number?
The NPI number for Carlos Prays is 1902256555. It was assigned to this individual provider in the NPPES registry on June 14, 2016.
Where is Carlos Prays located?
Carlos Prays practices at 3200 Downwood Cir NW Ste 200, Atlanta, GA 30327. The listed phone number is (770) 442-1911.
What is Carlos Prays's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carlos Prays enrolled in Medicare?
Yes. Carlos Prays 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 organization bills Medicare for Carlos Prays's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Prays reassigns Medicare benefits to Southeast Medical Group, P.C. (Alpharetta, 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 Carlos Prays's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Prays 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 Carlos Prays 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 Carlos Prays affiliated with any hospitals?
According to CMS data, Carlos Prays is affiliated with Northside Hospital.
When was this NPI record last updated?
The NPPES record for Carlos Prays was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Carlos Alberto Prays, M.D. · NPI 1902256555
Family Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 14, 2016.
## Identity
- **NPI:** 1902256555 (Entity type: Individual)
- **Enumerated:** June 14, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 83748 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3200 DOWNWOOD CIR NW STE 200, Atlanta, GA 30327
- **Phone:** (770) 442-1911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeast Medical Group, P.C. (NPI 1235296054, Alpharetta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902256555) · Data from the CMS NPPES public registry.