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ANTONIO TOMBO LOPEZ JR. NP
NPI 1952183774
Nurse Practitioner in Conyers, GA

Active since October 17, 2023PECOS EnrolledAccepts Medicare Assignment
1412 MILSTEAD AVE NE STE 300, CONYERS, GA 30012(404) 918-2320(833) 605-2563 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Antonio Tombo Lopez Jr. Np NPPES

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

ANTONIO TOMBO LOPEZ JR. NP (NPI 1952183774) is an individual nurse practitioner in Conyers, Georgia, licensed in Georgia (APRN-NP249427) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952183774
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameANTONIO TOMBO LOPEZ JR.Credential: NP
Location Address1412 MILSTEAD AVE NE STE 300Conyers, GA 30012-3877
Mailing Address2001 Peachtree Rd Ne Ste 645Atlanta, GA 30309-1476 · (404) 482-9325 · Fax (883) 605-2563
Phone(404) 918-2320
Fax(833) 605-2563
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 17, 2023
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1952183774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP249427
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License APRN-NP249427 (GA)
1412 MILSTEAD AVE NE STE 300, Conyers, GA 30012
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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

Antonio Tombo Lopez Jr. Np 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 ID5496192726
PECOS Enrollment IDI20240322001157
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 Antonio Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
20 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Piedmont Providers LLC
61 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services46 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.
41 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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.

Other Providers at the Same Location NPPES 3

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

DANIEL M DONATO MD
Obstetrics & Gynecology (Gynecologic Oncology)
1412 MILSTEAD AVE NE STE 300
CONYERS, GA 30012
Rockdale County (678) 806-3330
CHANDAR BHIMANI MD
Internal Medicine (Hematology & Oncology)
1412 MILSTEAD AVE NE STE 300
CONYERS, GA 30012
Rockdale County (770) 918-2320
PRIYA SHIVA VISHNUBHOTLA MD
Internal Medicine (Hematology & Oncology)
1412 MILSTEAD AVE NE STE 300
CONYERS, GA 30012
Rockdale County (404) 918-2320

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 Antonio Lopez's NPI number?

The NPI number for Antonio Lopez is 1952183774. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Antonio Lopez located?

Antonio Lopez practices at 1412 Milstead Ave NE Ste 300, Conyers, GA 30012. The listed phone number is (404) 918-2320.

What is Antonio Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Antonio Lopez enrolled in Medicare?

Yes. Antonio Lopez 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 Antonio Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Lopez reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Piedmont Providers LLC (Jasper, 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 Antonio Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Antonio Lopez affiliated with any hospitals?

According to CMS data, Antonio Lopez is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Antonio Lopez was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.