Richard John Coralli, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

027042 Issued in GA

Practice address

2665 N Decatur Rd
Suite 260
Decatur, GA 30033-6149

Phone

(404) 297-9077

Fax

(404) 296-1220

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.coralli1@gadirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA
• Direct secure messaging: richard.coralli@atlheart.gadirect.net
• Direct secure messaging: richard.coralli@gadirect.net

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

• Atlanta Heart Specialists LLC

  • Cardiovascular Disease Physician
  • Tucker, GA
  • NPI 1891881827
  NPD
• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144241159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "address_2": "SUITE 260",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "404-297-9077",
            "fax_number": "404-296-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "address_2": "SUITE 260",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "404-297-9077",
            "fax_number": "404-296-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORALLI",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "027042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "027042",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000399154B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coordinated Care Partners LLC
• Copeland Social Services Group, Inc.
• Kylie Rose Copeland, PT, DPT, MPH
• Coraccess, Inc
• Coralie Medical, LLC
• Brittany Shanika Corbett, MASTER COSMETOLOGIST
• Toni Wynette Corbett
• Corcair Pyschological Services, LLC
• Francesca Maria Cordi, FNP-BC
• Core Elements Counseling & Consultation

• Cardiovascular Disease Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.