Individual provider Active NPI

Melinda Pauly, MD

  • Pediatric Hematology & Oncology Physician
  • Atlanta, GA
National Provider Identifier
1144438292
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
64551 Issued in GA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612002288 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Hematology/Oncology 1456662717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64551GAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottish Rite Children's Medical Center Pediatric Hematology-Oncology PastSince Jun 1, 2021 Accepting new patients
Specialty Providers at Children's, LLC Pediatric Hematology-Oncology PastSince Jun 1, 2021 Accepting new patients
Choa Hospital Based, LLC Past Accepting new patients
Arthur M. Blank Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.