Active NPI
Melinda Pauly, MD
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
National Provider Identifier
1144438292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 64551
- Practice address
- 2220 North Druid Hills Rd.
South Tower CL.15224
Atlanta, GA 30329 - Phone
- (404) 785-3730
- Fax
- (404) 785-3600
- NPI assigned
- May 21, 2007
- Last updated
- Oct 18, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 64551 | GA | Primary |
Addresses
Primary practice location
2220 North Druid Hills Rd.
South Tower CL.15224
Atlanta, GA 30329
Mailing address
2220 North Druid Hills Rd.
South Tower CL.15224
Atlanta, GA 30329
Phone (404) 785-3730
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 GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612002288 | GA | Order and Referring Only - Pediatric Medicine | 1456662717 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64551 | GA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottish Rite Children's Medical Center | Pediatric Hematology-Oncology | Past | Accepting new patients |
| Specialty Providers at Children's, LLC | Pediatric Hematology-Oncology | Past | Accepting new patients |
| Choa Hospital Based, LLC | Past | Accepting new patients | |
| Arthur M. Blank Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mpauly39596@choa.gadirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
dba Children's Healthcare of Atlanta at Scottish Rite
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
- NPI 1184779332
Pediatric Hematology-Oncology
-
- Pediatric Dentistry
- Brookhaven, GA
- NPI 1346606076
Pediatric Hematology-Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1144438292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 NORTH DRUID HILLS RD.",
"address_2": "SOUTH TOWER CL.15224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30329",
"telephone_number": "404-785-3730",
"fax_number": "404-785-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 NORTH DRUID HILLS RD.",
"address_2": "SOUTH TOWER CL.15224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30329",
"telephone_number": "404-785-3730",
"fax_number": "404-785-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULY",
"first_name": "MELINDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2024-10-18",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "GA",
"license": "64551",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "2220 North Druid Hills Rd.",
"address_2": "South Tower CL.15224",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "30329",
"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 Oct 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.