Active NPI
Merlyn J Kaalla, D.O.
- Family Medicine Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 85473
- Practice address
- 1765 Parker Rd SE Ste B240
Conyers, GA 30094-6673 - Phone
- (770) 602-2970
- NPI assigned
- Apr 5, 2017
- Last updated
- Sep 10, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 85473 | GA | Primary |
Addresses
Primary practice location
1765 Parker Rd SE Ste B240
Conyers, GA 30094-6673
Mailing address
4302 Pond Edge Rd
Snellville, GA 30039-3971
Other practice location 1
777 Hemlock St, MSC 165
The Medical Center, Navicent Health
Macon, GA 31201
Phone (404) 422-7560
Other practice location 2
4250 Brownsville Rd
Powder Springs, GA 30127-2559
Phone (678) 567-8000
Other practice location 3
3780 Eisenhower PKWY
Macon, GA 31206
Phone (478) 633-5550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkaalla407345@directwellstar.org | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210
1765 Parker Rd SE
Suite B240
Conyers, GA 30094-6673
Phone (678) 609-6282
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients | |
| Health Services of Central Georgia, Inc | Family Medicine | Past | Accepting new patients |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1765 Parker Rd SE
Ste B240
Conyers, GA 30094
Phone (678) 609-6282
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
4250 Brownsville Rd
Powder Springs, GA 30127
Phone (678) 567-8000
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Family Medicine
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1316470594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 POND EDGE RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300393971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 PARKER RD SE STE B240",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946673",
"telephone_number": "770-602-2970"
}
],
"practiceLocations": [
{
"address_1": "777 Hemlock St, MSC 165",
"address_2": "The Medical Center, Navicent Health",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "31201",
"country_code": "US",
"telephone_number": "404-422-7560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 Brownsville Rd",
"address_purpose": "LOCATION",
"city": "Powder Springs",
"state": "GA",
"postal_code": "301272559",
"country_code": "US",
"telephone_number": "678-567-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3780 Eisenhower PKWY",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "31206",
"country_code": "US",
"telephone_number": "478-633-5550",
"fax_number": "478-633-7287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAALLA",
"first_name": "MERLYN",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "85473",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkaalla407345@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4250 Brownsville Rd",
"city": "Powder Springs",
"state": "GA",
"country_code": "US",
"postal_code": "301272559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conyers, GA
- Julianne Adams Birt, MD, LLC (Radiant Women's Health)
- Andrea N Jump, D.C.
- Susan B Jung, LPC
- Michele Lee Junger, DDS
- K&R Glowing Pride Residential Services of Georgia
- Amisha Atul Kadiwar, MD
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Conyers)
- Kaiser Permanente
- Kaiwell-Being, LLC
- Hashit V Kalaria, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.