NPIMap

Individual provider Active NPI

Ellis V Hedaya, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1528032596
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
020733 Issued in GA
Practice address
550 Peachtree St NE
Suite 1200
Atlanta, GA 30308-2209
Phone
(404) 221-1899
Fax
(404) 221-1343
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 020733 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1200
Atlanta, GA 30308-2209

Mailing address

550 Peachtree St NE
Suite 1200
Atlanta, GA 30308-2209
Phone (404) 221-1899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080502000423 GA Practitioner - Neurology 9638258593 Reassigns benefits to 2 organizations
I20200317002766 MI Practitioner - Neurology 9638258593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Johns Hopkins University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

95 Collier Rd NW
Suite 4045
Atlanta, GA 30309-1749
Phone (404) 351-2270

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health Corporation of Southeastern Michigan Neurology CurrentSince Jan 28, 2020 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Oct 8, 2013 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jan 28, 2020 Accepting new patients
Piedmont Providers LLC CurrentSince Mar 13, 2021 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients
Piedmont Professional Services, LLC Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

Interoperability endpoints

  • Direct secure messaging: ellishedaya@tmsca.allscriptsdirect.net

Organizations & group practices 6

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 6

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1528032596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-221-1899",
            "fax_number": "404-221-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-221-1899",
            "fax_number": "404-221-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYA",
        "first_name": "ELLIS",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "020733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.