Provider profile

Mary Ellen SweeneyMD

Internal Medicine, Endocrinology, Diabetes & Metabolism

NPI 1053426551
1670 Clairmont Rd # -111, Decatur, GA 30033404-321-6111

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Medicare Advantage plans for DeKalb County, GA.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 88 Medicare Advantage plans we show for DeKalb County, GA in 2027

  • 23 list Mary Ellen
  • 65 not listed

Humana

7 plans list Mary Ellen; not listed on 20 other plans.

7plans
  • Humana Gold Plus Giveback H4141-022 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 5671 Peachtree Dunwoody Rd, Ste 210, Atlanta, GA, 30342
    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4141-022-000Medicare.gov
    $0a month
  • Humana Gold Plus H4141-015 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 5671 Peachtree Dunwoody Rd, Ste 210, Atlanta, GA, 30342
    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4141-015-000Medicare.gov
    $0a month
  • Humana Gold Plus H4141-017 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 5671 Peachtree Dunwoody Rd, Ste 210, Atlanta, GA, 30342
    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4141-017-003Medicare.gov
    $0a month
  • Humana Gold Plus H4141-023 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 5671 Peachtree Dunwoody Rd, Ste 210, Atlanta, GA, 30342
    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4141-023-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

6 plans list Mary Ellen.

6plans
  • Anthem Veteran (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH5422-014-000Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-040-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH5422-020-000Medicare.gov
    $55a month
  • Anthem Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5422-018-000Medicare.gov
    $0a month

HealthSpring

6 plans list Mary Ellen.

6plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-015-002Medicare.gov
    $0a month
  • HealthSpring Preferred GA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-003-001Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-016-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2675 N Decatur Rd, Decatur, GA, 30033

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-145-000Medicare.gov
    $0a month

Clover Health

3 plans list Mary Ellen.

3plans
  • Clover Health LiveHealthy (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Bldg A, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-026-000Medicare.gov
    $0a month
  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Bldg A, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-056-000Medicare.gov
    $0a month
  • Clover Health LiveHealthy Premier (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1365 Clifton Rd NE, Bldg A, Atlanta, GA, 30322
    • 5671 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-045-000Medicare.gov
    $35a month

PruittHealth Premier

1 plan lists Mary Ellen.

1plan
  • PruittHealth Premier D-SNP (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2675 N Decatur Rd, Decatur, GA, 30033
    • 1365 Clifton Rd NE, Bldg A, Atlanta, GA, 30322
    • 550 Peachtree St NE, Atlanta, GA, 30308
    • 415 Neptune St, Pittsburgh, PA, 15220

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH3291-002-000Medicare.gov
    $0a month

Aetna Medicare

Not listed on its 12 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 7 plans here. That isn't proof they're out of network.

Kaiser Permanente

Not listed on its 8 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 8 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 10 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

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Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

1670 Clairmont Rd # -111
Decatur, GA 30033

NPI Registry
NPI issued
2006
Registry record updated
Jul 8, 2007

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Mary Ellen Sweeney?

In DeKalb County, GA, 23 Medicare Advantage plans for 2027 list Mary Ellen in provider data from Medicare.gov or the carrier, including Humana Gold Plus Giveback H4141-022 (HMO), Humana Gold Plus H4141-015 (HMO) and Humana Gold Plus H4141-017 (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Mary Ellen Sweeney take Humana Medicare Advantage plans?

Humana's own provider directory lists Mary Ellen on 7 Medicare Advantage plans for 2027 in DeKalb County, GA, including Humana Gold Plus Giveback H4141-022 (HMO) and Humana Gold Plus H4141-015 (HMO). 20 other plans did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does Mary Ellen Sweeney take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Mary Ellen on 6 Medicare Advantage plans for 2027 in DeKalb County, GA, including Anthem Veteran (HMO-POS) and Anthem Veteran (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Does Mary Ellen Sweeney take HealthSpring Medicare Advantage plans?

Medicare.gov provider data lists Mary Ellen on 6 Medicare Advantage plans for 2027 in DeKalb County, GA, including HealthSpring Preferred (HMO) and HealthSpring Preferred GA (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or HealthSpring before you enroll.

Where does Mary Ellen Sweeney practice?

1670 Clairmont Rd # -111, Decatur, GA 30033.

How do I confirm Mary Ellen is in my plan's network?

Call the member services number on your plan card and give them the NPI 1053426551, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Mary Ellen Sweeney on 45 plans from Aetna Medicare, Devoted, Kaiser Permanente, UnitedHealthcare and Wellcare in DeKalb County, GA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2007-07-08). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Mary Ellen Sweeney or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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