Active NPI
Adamantios Michael Mellis, MD
- Urology Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 73919
- Practice address
- 1357 Hembree Rd
Ste 250
Roswell, GA 30076-5722 - Phone
- (678) 284-4040
- Fax
- (678) 284-4076
- NPI assigned
- May 29, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 73919 | GA | Primary |
Addresses
Primary practice location
1357 Hembree Rd
Ste 250
Roswell, GA 30076-5722
Mailing address
1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040
Other practice location 1
1800 Northside Forsyth Dr Ste 370
Cumming, GA 30041-8483
Phone (770) 889-9737
Other practice location 2
11459 Johns Creek Pkwy Ste 170
Johns Creek, GA 30097-3516
Phone (678) 417-0400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adam.mellis.p1@direct.gupa.nextgenshare.com | Direct |
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
- Urology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1357 Hembree Rd
Suite 250
Roswell, GA 30076-5724
Phone (770) 475-7550
900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Hospital & facility affiliations
- Northside Hospital Forsyth
- Northside Hospital
- Northside Hospital Cherokee
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.21 of 100
- Quality
- 52.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73919 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Urology, PA | Current | Accepting new patients | |
| Urological Professional Services, LLC | Urology | Current | Accepting new patients |
| Georgia Urology PA | Urology | Current | Accepting new patients |
Locations
4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893
970 Joe Frank Harris Pkwy SE
Ste 260
Cartersville, GA 30120
Phone (770) 607-1893
1800 Northside Forsyth Dr
Ste 370
Cumming, GA 30041
Phone (770) 889-9737
3790 Pleasant Hill Rd
Ste 150
Duluth, GA 30096
Phone (678) 414-0400
220 J L White Dr
Ste 160
Jasper, GA 30143
Phone (706) 692-4384
11459 Johns Creek Pkwy
Ste 170
Johns Creek, GA 30097
Phone (678) 417-0400
1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040
1357 Hembree Rd
Ste 250
Roswell, GA 30076
Phone (770) 475-7550
11835 Alpharetta Hwy
Ste 100
Roswell, GA 30076
Phone (770) 475-7550
11835 Alpharetta Hwy
Ste 101
Roswell, GA 30076
Phone (770) 475-7550
900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201
Interoperability endpoints
- adamantios.mellis.p1@direct.gupa.nextgenshare.com
Organizations & group practices 3
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.
-
- Urology Physician
- Riverdale, GA
- NPI 1245250646
-
- Urology Physician
- Atlanta, GA
- NPI 1033521810
-
- Ambulatory Surgical Clinic/Center
- Braselton, GA
- NPI 1861222119
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1386870731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 BRANNAN RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534310",
"telephone_number": "678-284-4040",
"fax_number": "678-284-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 HEMBREE RD",
"address_2": "STE 250",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765722",
"telephone_number": "678-284-4040",
"fax_number": "678-284-4076"
}
],
"practiceLocations": [
{
"address_1": "1800 Northside Forsyth Dr Ste 370",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300418483",
"country_code": "US",
"telephone_number": "770-889-9737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11459 Johns Creek Pkwy Ste 170",
"address_purpose": "LOCATION",
"city": "Johns Creek",
"state": "GA",
"postal_code": "300973516",
"country_code": "US",
"telephone_number": "678-417-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLIS",
"first_name": "ADAMANTIOS",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-29",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "73919",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adam.mellis.p1@direct.gupa.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "1800 Northside Forsyth Dr Ste 370",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300418483",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.