Individual provider Active NPI

Shailesh Malla, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1437154267
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
55770 Issued in GA
Practice address
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone
(404) 605-2800
Fax
(404) 351-5983
NPI assigned
Jun 17, 2005
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 55770 GA Primary
Nuclear Cardiology Physician 207UN0901X 055770 GA

Addresses

Primary practice location

275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709

Mailing address

275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone (404) 605-2800

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
I20050818000784 GA Practitioner - Nuclear MedicinePractitioner - Cardiovascular Disease (Cardiology) 4284664236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2145 Slater Mill Rd
Douglasville, GA 30135-1205
Phone (678) 715-3334

3820 Medical Park Dr
Suite 2200
Austell, GA 30106-1110
Phone (770) 941-7741

400 Tower Rd NE
Suite 110
Marietta, GA 30060-9417
Phone (770) 720-2383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55770GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Nov 15, 2007 Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease Past Accepting new patients
The Atlatna Cardiology Group, PC Cardiovascular Disease Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562

3820 Medical Park Dr
#2200
Austell, GA 30106
Phone (770) 941-7741

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

2855 Old Highway 5
Ste 106
Blue Ridge, GA 30513
Phone (706) 632-2066

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

660 Cherokee St NE
Ste 250
Marietta, GA 30060
Phone (404) 425-5570

5665 Peachtree Dunwoody Rd
Ste 172
Sandy Springs, GA 30342
Phone (404) 851-5400

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.

Hospital & facility affiliations 3

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1437154267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLA",
        "first_name": "SHAILESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "55770",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "055770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.