Kelly J. Ahn, M.D.
Individual provider Active NPI Internal Medicine Physician · Atlanta, GA
NPI 1225141237 · NPPES record last updated Apr 8, 2014
Key facts
- NPI
- 1225141237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 39028 (GA)
- Practice address
- 755 Mount Vernon Hwy NE
Suite 500
Atlanta, GA 30328-4274 - Phone
- (678) 222-3145
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sandy Springs Internal Medicine, P.C.
Practice addresses (Care Compare)
755 Mount Vernon Hwy NE
Suite 500
Atlanta, GA 30328-4280
Phone (678) 222-3145
755 Mount Vernon Hwy NE 500
Atlanta, GA 30328-4280
755 Mt Vernon Hwy
Suite 500
Atlanta, GA 30328-4280
Hospital & facility affiliations
- Accentcare Home Health of Georgia
- Northside Hospital
- Northside Hospital Cherokee
- Northside Hospital Forsyth
- Piedmont Hospital, Inc
- Saint Joseph'S Hospital of Atlanta, Inc
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000022 | GA | Practitioner - Internal Medicine | 6709788540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39028 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandy Springs Internal Medicine, P.C. | Internal Medicine | Current |
Accepting new patients |
Locations
755 Mount Vernon Hwy NE
Ste 500
Sandy Springs, GA 30328
Phone (404) 256-9544
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEGGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39028 | GA | Yes |
Addresses
Primary practice location
755 Mount Vernon Hwy NE
Suite 500
Atlanta, GA 30328-4274
Mailing address
755 Mount Vernon Hwy NE
Suite 500
Atlanta, GA 30328-4274
Phone (678) 222-3145
Other providers in Atlanta, GA
- Taha Ahmed
- Tasnim Ahmed
- Yasmin Zanjabil Ahmed
- Zuhair Khazisyed Ahmed
- Amy Yeunju Ahn
- Mary E Ahn
- Young W. Ahn
- Ahp of Central Georgia, PC
- Ahp of Georgia, LLC
- Alana Jane Ahrens
All providers in Atlanta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.