NPIMap

Individual provider Active NPI

Grace Chua Loy, MD

  • Internal Medicine Physician
  • Conyers, GA
National Provider Identifier
1639264369
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51975 Issued in GA
Practice address
2800 Highway 138 SW Ste a
Conyers, GA 30094-3929
Phone
(770) 602-2970
Fax
(404) 367-6982
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51975 GA Primary

Addresses

Primary practice location

2800 Highway 138 SW Ste a
Conyers, GA 30094-3929

Mailing address

2800 Highway 138 SW Ste a
Conyers, GA 30094-3929
Phone (770) 602-2970

Other identifiers 1

IdentifierTypeStateIssuer
00973035AMedicaidGA

Other names 1

  • Mrs. Grace Loy Angeles Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000307 GA Practitioner - Internal Medicine 7416958962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

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

875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669

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
51975GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
Piedmont Providers LLC Internal Medicine PastSince Dec 10, 2018 Accepting new patients

Locations

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

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

1765 Parker Rd SE
Ste B240
Conyers, GA 30094
Phone (678) 609-6282

2800 Highway 138 SW
Ste A
Conyers, GA 30094
Phone (770) 602-2970

1301 Wellbrook Cir NE
Conyers, GA 30012
Phone (404) 922-3023

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1639264369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HIGHWAY 138 SW STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943929",
            "telephone_number": "770-602-2970",
            "fax_number": "404-367-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HIGHWAY 138 SW STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943929",
            "telephone_number": "770-602-2970",
            "fax_number": "404-367-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY",
        "first_name": "GRACE",
        "middle_name": "CHUA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "51975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00973035A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "ANGELES",
            "middle_name": "LOY",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.