LAUREN CERTO PA-C
NPI 1982296604
Physician Assistant in Austell, GA

Q: What is Lauren Certo's NPI number?

The NPI number for Lauren Certo is 1982296604. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Q: What is Lauren Certo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Certo was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

3950 AUSTELL RD, AUSTELL, GA 30106(770) 793-7635 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 20, 2023, Jul 22, 2021, Mar 23, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Lauren Certo Pa-c NPPES

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

LAUREN CERTO PA-C (NPI 1982296604) is an individual physician assistant in Austell, Georgia, licensed in Georgia (11125) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1982296604

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAUREN CERTOCredential: PA-C

Location Address3950 AUSTELL RDAustell, GA 30106-1121

Mailing Address3950 Austell RdAustell, GA 30106-1121 · (770) 793-7635

Phone(770) 793-7635

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2020

Enumeration DateFebruary 4, 2021

Last NPPES UpdateFebruary 20, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2023

✔ NPI 1982296604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in GA · 11125✔ Licensed in VA · 0110007751

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.

3950 AUSTELL RD, Austell, GA 30106

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Secondary Practice Location 1

Location 16160 Kempsville Cir Ste 325ANorfolk, VA 23502-3933 · Phone (757) 354-2885 · Fax (757) 917-5141

Accepted Insurance

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

Lauren Certo 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 ID6709293137

PECOS Enrollment IDI20221012002879

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$42.81 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers52 claims52 services$18.32 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers24 claims24 services$22.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. JOLI ANN WILSON D.O.

Pediatrics