SANDHYA GUPTA PA-C
NPI 1952957052
Physician Assistant in Lawrenceville, GA

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
65.41/100
CMS Quality Rating
755 WALTHER RD, LAWRENCEVILLE, GA 30046(678) 272-3699(770) 290-8084 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2021, Sep 13, 2019, Aug 14, 2019 (3 updates tracked since 2019).

About Sandhya Gupta Pa-c NPPES

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

SANDHYA GUPTA PA-C (NPI 1952957052) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (9409) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1952957052
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDHYA GUPTACredential: PA-C
Location Address755 WALTHER RDLawrenceville, GA 30046-8725
Mailing Address755 Walther RdLawrenceville, GA 30046-8725 · (678) 272-3699 · Fax (770) 290-8084
Fax(770) 290-8084
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateAugust 14, 2019
Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
NPI 1952957052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 9409
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 9409 (GA)
755 WALTHER RD, Lawrenceville, GA 30046

Other Identifiers 2

Other9409GA · Georgia Medical Composite Board
Other1160403GA · Nccpa

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandhya Gupta Pa-c 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 ID7618300468
PECOS Enrollment IDI20191209001453
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.

Areas of Expertise CMS Part B claims

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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.24
Improvement Activities40
Cost59.44

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.

Physician Assistant
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Gerontology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Internal Medicine (Interventional Cardiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Internal Medicine (Interventional Cardiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046
Internal Medicine (Clinical Cardiac Electrophysiology)
755 WALTHER RD
LAWRENCEVILLE, GA 30046

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 Sandhya Gupta's NPI number?

The NPI number for Sandhya Gupta is 1952957052. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Sandhya Gupta located?

Sandhya Gupta practices at 755 Walther Rd, Lawrenceville, GA 30046. The listed phone number is (678) 272-3699.

What is Sandhya Gupta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sandhya Gupta enrolled in Medicare?

Yes. Sandhya Gupta 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.

What insurance does Sandhya Gupta accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sandhya Gupta 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 Sandhya Gupta affiliated with any hospitals?

According to CMS data, Sandhya Gupta is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Sandhya Gupta was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.