THELTONIA HOWARD GUNN MD
NPI 1992095418
Emergency Medicine in Austell, GA

Q: What is Theltonia Gunn's NPI number?

The NPI number for Theltonia Gunn is 1992095418. It was assigned to this individual provider in the NPPES registry on April 18, 2011. The provider is also known as Theltonia Y Howard MD.

Q: What is Theltonia Gunn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Theltonia Gunn was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 18, 2011PECOS EnrolledAccepts Medicare Assignment

3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-5570 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Feb 14, 2020 (2 updates tracked since 2020).

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About Theltonia Howard Gunn Md NPPES

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

THELTONIA HOWARD GUNN MD (NPI 1992095418) is an individual emergency medicine provider in Austell, Georgia, licensed in Georgia (66186) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Morehouse School Of Medicine (2008).

NPPES Registry Identity

NPI1992095418

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameTHELTONIA HOWARD GUNNCredential: MD

Location Address3950 AUSTELL RDAustell, GA 30106-1121

Mailing Address5665 New Northside Dr Nw, Suite 320Atlanta, GA 30328-5831 · (770) 874-5468 · Fax (770) 874-5469

Phone(770) 732-5570

Sole ProprietorYes

Medical School CMSMorehouse School Of MedicineGraduated 2008

Enumeration DateApril 18, 2011

Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1992095418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in GA · 66186✔ Licensed in TX · N7434

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3950 AUSTELL RD, Austell, GA 30106

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Other Names 1

Former Name (1)Theltonia Y Howard Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Theltonia Howard Gunn Md 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 ID7618145806

PECOS Enrollment IDI20110713000601

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

164 services162 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

93 services85 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

55 services55 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

34 services34 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110018

Location5126 Hospital Drive NECovington, GA 30014 · Newton County

Emergency services Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110165

Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County

Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110229

Location745 Poplar RoadNewnan, GA 30265 · Coweta County

Emergency services 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

$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 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