PEDRO HEVIA PAEZ
NPI 1942790878
Nurse Practitioner - Family in Augusta, GA

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 854-6008(706) 774-7230 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2019, May 17, 2018 (2 updates tracked since 2018).

About Pedro Hevia Paez NPPES

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

PEDRO HEVIA PAEZ (NPI 1942790878) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN267116) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1942790878
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePEDRO HEVIA PAEZ
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230
Fax(706) 774-7230
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2016
Enumeration DateMay 16, 2018
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
✔ NPI 1942790878 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
Licenses✔ Licensed in GA · RN267116✔ Licensed in FL · ARNP9346927
1350 WALTON WAY, Augusta, GA 30901

Secondary Practice Location 1

Location 11537 Walton WayAugusta, GA 30904 · Phone (305) 519-0567

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

Pedro Hevia Paez 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 ID4587917737
PECOS Enrollment IDI20181105002989
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

2

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

Internal Medicine
1000 SECESSION CT
Martinez, GA 30907
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
217 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services32 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901

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 Pedro Hevia Paez's NPI number?

The NPI number for Pedro Hevia Paez is 1942790878. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Pedro Hevia Paez located?

Pedro Hevia Paez practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 854-6008.

What is Pedro Hevia Paez's specialty?

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

Is Pedro Hevia Paez enrolled in Medicare?

Yes. Pedro Hevia Paez 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 organizations bill Medicare for Pedro Hevia Paez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Hevia Paez reassigns Medicare benefits to 2 organizations: Dr Manhiani PLLC (Martinez, GA) and Wellstar Medical Group, LLC (Roswell, 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 Pedro Hevia Paez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Hevia Paez accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Pedro Hevia Paez 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 Pedro Hevia Paez affiliated with any hospitals?

According to CMS data, Pedro Hevia Paez is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Pedro Hevia Paez was last updated on December 11, 2019. 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.