Active NPI
Nancy Kralovich, PA-C
- Medical Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4449
- Practice address
- 5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767 - Phone
- (404) 255-1933
- Fax
- (404) 256-7924
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4449 | GA | Primary |
Addresses
Primary practice location
5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767
Mailing address
5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767
Phone (404) 255-1933
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2222 Welborn St
Dallas, TX 75219-3924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004449 | GA | MD | Clinical Psychologist |
| 4449 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Orthopaedics of Atlanta P.C. | Current | Accepting new patients | |
| Texas Scottish Rite Hospital for Crippled Children | Current | Accepting new patients |
Locations
5445 Meridian Mark Rd
Ste 250
Sandy Springs, GA 30342
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone (469) 857-2222
5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100
Organizations & group practices 2
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.
-
- Pediatric Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1598188948
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1548247000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1083674675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 MERIDIAN MARK RD STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424767",
"telephone_number": "404-255-1933",
"fax_number": "404-256-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 MERIDIAN MARK RD STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424767",
"telephone_number": "404-255-1933",
"fax_number": "404-256-7924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALOVICH",
"first_name": "NANCY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "4449",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "5445 Meridian Mark Rd Ste 250",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303424767",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.