MR. MICHAEL SCARBOROUGH FNP-C
NPI 1942569736
Nurse Practitioner - Family in Decatur, GA

Q: What is Michael Scarborough's NPI number?

The NPI number for Michael Scarborough is 1942569736. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Q: What is Michael Scarborough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 14, 2012PECOS Enrolled

215 CHURCH ST STE 102, DECATUR, GA 30030(404) 445-0350 Get Directions Write a Review

NPPES record last updated: September 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2020, Aug 23, 2018 (2 updates tracked since 2018).

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About Mr. Michael Scarborough Fnp-c NPPES

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

MR. MICHAEL SCARBOROUGH FNP-C (NPI 1942569736) is an individual family provider in Decatur, Georgia, licensed in Georgia (F0412159) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2011).

NPPES Registry Identity

NPI1942569736

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MICHAEL SCARBOROUGHCredential: FNP-C

Location Address215 CHURCH ST STE 102Decatur, GA 30030-3330

Mailing Address1646 Rockcliff Pl SeAtlanta, GA 30316-4010 · (706) 202-6394

Phone(404) 445-0350

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2011

Enumeration DateMay 14, 2012

Last NPPES UpdateSeptember 19, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2020

✔ NPI 1942569736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · F0412159

215 CHURCH ST STE 102, Decatur, GA 30030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Scarborough Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315196847

PECOS Enrollment IDI20120927000318

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 Reassignments

Medicare enrollment records show Michael Scarborough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grady Memorial Hospital Corporation

5.2 mi

Family Medicine

80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
771 clinicians in this Medicare group

NPI 1114243813 (404) 616-8880

Positive Impact Health Centers Inc

16 mi

Primary Care

3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096

Reassigned Medicare billing, Georgia enrollment
36 clinicians in this Medicare group

NPI 1790861995 (770) 962-8396

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.

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.

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 Michael Scarborough's NPI number?

The NPI number for Michael Scarborough is 1942569736. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Michael Scarborough located?

Michael Scarborough practices at 215 Church St Ste 102, Decatur, GA 30030. The listed phone number is (404) 445-0350.

What is Michael Scarborough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Scarborough enrolled in Medicare?

Yes. Michael Scarborough is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Scarborough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Scarborough reassigns Medicare benefits to 2 organizations: Grady Memorial Hospital Corporation (Atlanta, GA) and Positive Impact Health Centers Inc (Duluth, 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 Michael Scarborough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Scarborough accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Michael Scarborough 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 Michael Scarborough was last updated on September 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.