federally qualified health center site
Highlands Medical Plaza — Cumming, Georgia
About Highlands Medical Plaza
Highlands Medical Plaza is a federally qualified health center site in Cumming, Forsyth County. HRSA funds it to see patients regardless of ability to pay.
It has been in federal health center scope since 2015; it reports 42 operating hours a week, in line with the 42-hour median for health center sites in Forsyth County.
GEORGIA HIGHLANDS MEDICAL SERVICE INC runs 7 other listed locations.
HRSA Health Center Service Delivery Sites lists it; no source records whether GLP-1 medications are prescribed here.
GLP-1 coverage at Highlands Medical Plaza
Part B pays for the visit at Highlands Medical Plaza under the health center payment system, and the sliding fee scale can lower the cost of the visit for those who qualify; the drug is billed to Part D by a pharmacy.
HRSA lists Medicare billing number 111051 here, so the site bills Medicare directly. It also carries NPI 1407306418.
Medicare's general GLP-1 rules are set out.
- Do you manage GLP-1 prescriptions for Medicare patients?
- Which Medicare plans do you take?
- What documents precede a prior authorization?
Insurance and Medicare at Highlands Medical Plaza
Highlands Medical Plaza is required to run a sliding fee scale by household income and size. Ask intake which documents prove it.
Georgia has not expanded Medicaid and counted roughly 1,944,905 Medicare beneficiaries as of 2026-08. Eligibility under 65 is narrower here, though dual eligibility still cuts Part D costs.
Georgia State Health Insurance Assistance Program (GeorgiaCares) answers formulary questions free at 1-866-552-4464; statewide rules sit.
Services and specialties
Highlands Medical Plaza is required to provide or arrange, directly or by referral:
Weight management and diabetes care sit inside primary care, where a GLP-1 conversation would start.
- Primary care for all ages
- Behavioral health and substance use care
- Preventive dental care
- Laboratory and diagnostic services
Getting there and what to expect
Highlands Medical Plaza is at 475 Tribble Gap Rd, Cumming, GA, 30040-2478, Forsyth County.
Cumming measures 502 people per square mile: parking is normally on site, transit thinner.
HRSA records 42 operating hours a week here.
It publishes its own hours and intake details at ghms-inc.org.
Call 770-887-1668 before travelling.
- Medicare card and any Part D card
- Photo ID
- Current medications and doses
- Recent labs or prescriber notes
- Income and household size, for the fee scale
Other options near Highlands Medical Plaza
The nearest GEORGIA HIGHLANDS MEDICAL SERVICE INC site is GHMS Cumming Family Health Center in Cumming, 0.1 miles away.
GHMS Cumming Elementary Center in Cumming is the next one out, 0.5 miles away.
The closest unrelated listing is NELUM WALKER NP, listed under Telehealth, 10.7 miles away. Distances are straight-line, so a drive is longer.
Forsyth County carries 3 listings.
| Resource | Type | Distance |
|---|---|---|
| GHMS Cumming Family Health Center | Same network · Cumming | 0.1 mi |
| GHMS Cumming Elementary Center | Same network · Cumming | 0.5 mi |
| GHMS Buford Family Health Center | Same network · Buford | 11.2 mi |
| GHMS Dawsonville Family Health Center | Same network · Dawsonville | 12.1 mi |
| GHMS Canton Center | Same network · Canton | 20.1 mi |
| GHMS Canton Family Health Center | Same network · Canton | 20.1 mi |
| NELUM WALKER NP | Telehealth · Buford | 10.7 mi |
| IRENE OLABODE DO | Telehealth · Suwanee | 12 mi |
| MALINI GANESH MD | Telehealth · Suwanee | 12 mi |
| Southside Medical Center - Crescent Pediatrics | Community Care Access · Lawrenceville | 15.5 mi |
| ZACHARY F VERES DO | Telehealth · Peachtree Corners | 17.9 mi |
| GLORIA FONG MD | Telehealth · Peachtree Corners | 17.9 mi |
| MedLink Hawks School Based Health Center | Community Care Access · Gainesville | 18 mi |
| MedLink Gainesville | Community Care Access · Gainesville | 19.1 mi |
| Four Corners Primary Care Centers, W Pike | Community Care Access · Lawrenceville | 19.6 mi |
| CPACS Cosmo Health Center Dental | Community Care Access · Peachtree Corners | 20.1 mi |
Common questions
Questions about Highlands Medical Plaza
Does Highlands Medical Plaza accept Medicare for GLP-1 prescriptions?
HRSA lists Medicare billing number 111051 for Highlands Medical Plaza, so the site bills Medicare for the visit. The drug is separate, filled at a pharmacy against Part D. Call 770-887-1668 to confirm.
What kind of site is Highlands Medical Plaza?
HRSA records Highlands Medical Plaza as a permanent federally qualified health center service delivery site, in federal scope since 2015. GEORGIA HIGHLANDS MEDICAL SERVICE INC operates it alongside 7 other listed locations. That is a federal registration, not a service list.
What are the hours at Highlands Medical Plaza?
HRSA reports 42 operating hours a week at Highlands Medical Plaza. That is a weekly total, not a daily timetable. Call 770-887-1668 for open days.
Where is Highlands Medical Plaza?
Highlands Medical Plaza is at 475 Tribble Gap Rd, Cumming, GA, 30040-2478, Forsyth County. The area measures 502 people per square mile. Forsyth County holds 3 listings in all.
Is there a sliding fee scale at Highlands Medical Plaza?
Yes. Ask intake for the sliding fee application and bring income documentation for your household. The discount reduces what Highlands Medical Plaza charges for the visit, not what a pharmacy bills Part D for the GLP-1 itself. Call 770-887-1668 if the required documents aren't clear.
Are there other GEORGIA HIGHLANDS MEDICAL SERVICE INC locations near Highlands Medical Plaza?
Yes — see the nearby-locations table on this page for the closest GEORGIA HIGHLANDS MEDICAL SERVICE INC sites to Highlands Medical Plaza and their distances. Sites sharing an operator typically share intake and billing arrangements, so a record started at one can often be pulled up at another.
What GLP-1 medications does Medicare cover in Georgia?
Part D can cover a GLP-1 prescribed for an approved indication such as type 2 diabetes; weight-management coverage varies by plan. Georgia State Health Insurance Assistance Program (GeorgiaCares) reads Georgia formularies free at 1-866-552-4464.