EDDIE D MCQUAKER NP
NPI 1902626823
Nurse Practitioner in Decatur, GA
About Eddie D Mcquaker Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE D MCQUAKER NP (NPI 1902626823) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (APRN-NP293030) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marietta, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 (PECOS)
Eddie D Mcquaker Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Eddie Mcquaker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, GA 30096
- Reassigned Medicare billing, Georgia enrollment
- 36 clinicians in this Medicare group
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 353 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 380 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30030 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 9
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 Eddie Mcquaker's NPI number?
The NPI number for Eddie Mcquaker is 1902626823. It was assigned to this individual provider in the NPPES registry on October 15, 2024.
Where is Eddie Mcquaker located?
Eddie Mcquaker practices at 523 Church St, Decatur, GA 30030. The listed phone number is (404) 589-9040.
What is Eddie Mcquaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Eddie Mcquaker enrolled in Medicare?
Yes. Eddie Mcquaker is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Eddie Mcquaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Mcquaker reassigns Medicare benefits to 3 organizations: Positive Impact Health Centers Inc (Duluth, GA), The Bortolazzo Group, LLC (Austell, GA) and Wellstreet Of Georgia PC (Newnan, GA). 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 Eddie Mcquaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eddie Mcquaker accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eddie Mcquaker 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.
When was this NPI record last updated?
The NPPES record for Eddie Mcquaker was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Eddie D Mcquaker, NP · NPI 1902626823
Nurse Practitioner physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since October 15, 2024.
## Identity
- **NPI:** 1902626823 (Entity type: Individual)
- **Enumerated:** October 15, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN-NP293030 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 523 CHURCH ST, Decatur, GA 30030-2515
- **Phone:** (404) 589-9040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Positive Impact Health Centers Inc (NPI 1790861995, Duluth, GA); The Bortolazzo Group, LLC (NPI 1801965082, Austell, GA); Wellstreet Of Georgia PC (NPI 1235411547, Newnan, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902626823) · Data from the CMS NPPES public registry.