Individual provider Active NPI

Adamantios Michael Mellis, MD

  • Urology Physician
  • Roswell, GA
National Provider Identifier
1386870731
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
73919 Issued in GA
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

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805009590 GA Practitioner - Urology 4082936141 Reassigns benefits to 2 organizations

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
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73919GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology, PA CurrentSince Aug 24, 2015 Accepting new patients
Urological Professional Services, LLC Urology CurrentSince Aug 24, 2015 Accepting new patients
Georgia Urology PA Urology CurrentSince Aug 24, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.