Theltonia Howard Gunn, MD - Medicare Emergency Medicine in Austell, GA

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Theltonia Howard Gunn, MD is a medicare enrolled "Emergency Medicine" physician in Austell, Georgia. She went to Morehouse School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Small Hospital Innovations Llc and her current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 732-5570.

Theltonia Howard Gunn is licensed to practice in Georgia (license number 66186) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992095418.

Contact Information

Theltonia Howard Gunn, MD
3950 Austell Rd,
Austell, GA 30106-1121
(770) 732-5570
Not Available

Map and Direction




Physician's Profile

Full NameTheltonia Howard Gunn
GenderFemale
SpecialityEmergency Medicine
Experience17 Years
Location3950 Austell Rd, Austell, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theltonia Howard Gunn attended and graduated from Morehouse School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1992095418
  • Provider Enumeration Date: 04/18/2011
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618145806
  • Enrollment ID: I20110713000601

Medical Identifiers

Medical identifiers for Theltonia Howard Gunn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992095418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine N7434 (Texas)Secondary
207P00000XEmergency Medicine 66186 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Regional Medical CenterRiverdale, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Small Hospital Innovations Llc084041544452

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theltonia Howard Gunn allows following entities to bill medicare on her behalf.
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameGeorgia Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316
Entity NameSouthern Regional Physicians Management Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043677271
PECOS PAC ID: 9032491956
Enrollment ID: O20170127002483
Entity NameSmall Hospital Innovations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20220404000661

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theltonia Howard Gunn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theltonia Howard Gunn, MD
5665 New Northside Dr Nw, Suite 320,
Atlanta, GA 30328-5831

Ph: (770) 874-5468		Theltonia Howard Gunn, MD
3950 Austell Rd,
Austell, GA 30106-1121

Ph: (770) 732-5570

Reviews and Comments


Emergency Medicine Doctors in Austell, GA

Michelle Presley,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Dr. Zachary Richard Wetendorf, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-3886    Fax: 770-732-7280
Dr. Mark P Cruz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Dr. Craig S Brummer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Kirsten Haskelle Bendeck, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Road, Emergency Department, Austell, GA 30328
Phone: 770-732-4000    
Gerald Bortolazzo,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
William Pearl,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.