Individual provider Active NPI

Malcolm M Traxler Jr., MD

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1124013172
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052651 Issued in GA
Practice address
2540 Atlanta Hwy Ste 803
Cumming, GA 30040-6333
Phone
(470) 253-7944
Fax
(678) 807-6144
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052651 GA Primary

Addresses

Primary practice location

2540 Atlanta Hwy Ste 803
Cumming, GA 30040-6333

Mailing address

5485 Bethelview Rd Ste 360-331
Cumming, GA 30040-9735
Phone (470) 253-7944

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
I20040308000885 GA Practitioner - Internal Medicine 8224926621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Primary Care and Wellness PCGroup PAC ID 1456613645, 2 clinicians
Capstone Hospice, LLCGroup PAC ID 0749585784, 6 clinicians

Practice addresses (Care Compare)

2450 Atlanta Hwy
Suite 803
Cumming, GA 30040-1252
Phone (678) 807-6145

5550 Peachtree Pkwy
Suite 150
Peachtree Corners, GA 30092-2560
Phone (770) 558-6202

Hospital & facility affiliations

  • Tugaloo Home Health Agency, an Amedisy Company Home health agency, Gainesville, GA, CCN 117305
  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Centerwell Home Health Home health agency, Cumming, GA, CCN 117136
  • Capstone Hospice LLC Hospice, Peachtree Corners, GA, CCN 111774
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Hospice, LLC CurrentSince Jan 1, 2021 Accepting new patients
Evergreen Primary Care and Wellness PC Internal Medicine CurrentSince Feb 6, 2018 Accepting new patients
Internal Medicine of Newton Co Internal Medicine Past Accepting new patients
Malcolm M Traxler Jr MD PC Internal Medicine PastSince Sep 13, 2005 Accepting new patients

Locations

5485 Bethelview Rd
Ste 360331
Cumming, GA 30040

2450 Atlanta Hwy
Ste 803
Cumming, GA 30040
Phone (470) 253-7944

5550 Peachtree Pkwy
Ste 150
Peachtree Corners, GA 30092
Phone (770) 558-6202

Organizations & group practices 4

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 6

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1124013172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-331",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "470-253-7944",
            "fax_number": "678-807-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 ATLANTA HWY STE 803",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406333",
            "telephone_number": "470-253-7944",
            "fax_number": "678-807-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAXLER",
        "first_name": "MALCOLM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.