NPIMap

Individual provider Active NPI

Gregg M Koval, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1659472363
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025202 Issued in GA
Practice address
5667 Peachtree Dunwoody Road
Suite 150
Atlanta, GA 30342
Phone
(404) 256-0775
Fax
(404) 459-8426
NPI assigned
Sep 26, 2006
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025202 GA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 025202 GA

Addresses

Primary practice location

5667 Peachtree Dunwoody Road
Suite 150
Atlanta, GA 30342

Mailing address

5667 Peachtree Dunwoody Road
Suite 150
Atlanta, GA 30342
Phone (404) 256-0775

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
I20111130000776 GA Practitioner - Internal Medicine 9931288842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Medicine Endocrinology and Diabetes LLCGroup PAC ID 7113961525, 4 clinicians

Practice addresses (Care Compare)

5667 Pchtrdnwdy
Suite 150
Atlanta, GA 30342-1730
Phone (404) 256-0775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as individual
Quality
85.4
Promoting interoperability
100
Improvement activities
40
Cost
66.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Medicine Endocrinology & Diabetes LLC CurrentSince Jun 1, 2000 Accepting new patients
Ernest W. Beasley, Jr, MD, PC Endocrinology, Diabetes & Metabolism PastSince Jun 1, 2000 Accepting new patients

Locations

5667 Ptree Dunwoody Rd NE
Ste 150
Sandy Springs, GA 30342
Phone (404) 256-0775

Interoperability endpoints

  • Direct secure messaging: gregg.koval@cme.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEAA

Organizations & group practices 2

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 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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1659472363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY ROAD",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-256-0775",
            "fax_number": "404-459-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY ROAD",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-256-0775",
            "fax_number": "404-459-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "GREGG",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "025202",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "025202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.