Individual provider Active NPI

Domenic Scalamogna, M.D.

  • Orthopaedic Surgery Physician
  • Newnan, GA
National Provider Identifier
1003880964
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
69632 Issued in GA
Practice address
2201 Newnan Crossing Blvd E Ste 100
Newnan, GA 30265-2551
Phone
(770) 460-4747
Fax
(678) 673-5102
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101233236 VA
Orthopaedic Surgery Physician 207X00000X D0078710 MD
Orthopaedic Surgery Physician 207X00000X 69632 GA Primary

Addresses

Primary practice location

2201 Newnan Crossing Blvd E Ste 100
Newnan, GA 30265-2551

Mailing address

3100 Interstate North Cir SE Ste 500
Atlanta, GA 30339-2296
Phone (770) 953-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000129 GA Practitioner - Orthopedic Surgery 4082855127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Suite 102
Fayetteville, GA 30214-4537
Phone (770) 460-1900

40 Greenway CT
Newnan, GA 30265-2326
Phone (770) 502-0195

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69632GAMDOrthopaedic Surgery Physician
D0078710MDMDOrthopaedic Surgery Physician
0101233236VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Oct 1, 2019 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations (25 of 33)

455 Legends Pl SE
Ste 890
Atlanta, GA 30339
Phone (404) 418-9090

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

3100 Interstate North Cir SE
Ste 500
Atlanta, GA 30339
Phone (770) 953-6929

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

3672 Marathon Cir
Ste 100
Austell, GA 30106
Phone (678) 945-8525

3929 Peachtree Rd NE
Ste 220
Brookhaven, GA 30319
Phone (678) 684-2220

910 N 5th St
Ste H
Cordele, GA 31015

2976 Chapel Hill Rd
Ste 200
Douglasville, GA 30135
Phone (770) 949-8558

465 N Belair Rd
Ste 3C
Evans, GA 30809
Phone (706) 620-3635

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8785

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

1265 Highway 54 W
Ste 102
Fayetteville, GA 30214
Phone (770) 460-1900

6300 Hospital Pkwy
Ste 475
Johns Creek, GA 30097
Phone (678) 205-4298

771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

440 Charter Blvd
Ste 3302
Macon, GA 31210
Phone (478) 405-7977

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

101 Regency Park Dr
Ste 120
McDonough, GA 30253
Phone (678) 214-6111

2151 W Spring St
Ste B140
Monroe, GA 30655
Phone (678) 214-6118

2201 Newnan Crossing Blvd E
Ste 100
Newnan, GA 30265
Phone (770) 460-4747

354 Newnan Crossing Byp
Ste 200
Newnan, GA 30265
Phone (770) 460-1900

2785 Highway 54
Peachtree City, GA 30269
Phone (404) 357-0456

1357 Hembree Rd
Ste 130
Roswell, GA 30076
Phone (678) 393-0012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
  • Direct secure messaging: domenic.scalamonga@crispregional.gadirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1003880964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIR SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392296",
            "telephone_number": "770-953-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NEWNAN CROSSING BLVD E STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652551",
            "telephone_number": "770-460-4747",
            "fax_number": "678-673-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALAMOGNA",
        "first_name": "DOMENIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101233236",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0078710",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "69632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.