Individual provider Active NPI

Amelia Bruce Zelnak, MD

  • Hematology & Oncology Physician
  • Cumming, GA
National Provider Identifier
1679697791
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
53634 Issued in GA
Practice address
1505 Northside Blvd
Suite 4600
Cumming, GA 30041-7623
Phone
(770) 205-5292
Fax
(770) 205-5291
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BZ9881360 GA
Hematology & Oncology Physician 207RH0003X 53634 GA Primary

Addresses

Primary practice location

1505 Northside Blvd
Suite 4600
Cumming, GA 30041-7623

Mailing address

1505 Northside Blvd Ste 4600
Cumming, GA 30041-7658
Phone (770) 205-5292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azelnak@atlantacancercare.direct.varian.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
I20070705000376 GA Practitioner - Hematology/Oncology 2466552401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Emory University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

5670 Peachtree Dunwoody Rd
Suite 1100
Atlanta, GA 30342-4795
Phone (404) 851-2300

Hospital & facility affiliations

  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53634GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC Hematology & Oncology CurrentSince Apr 1, 2015 Accepting new patients
Emory Medical Care Foundation Inc Hematology & Oncology CurrentSince Jul 1, 2007 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Apr 1, 2015 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2007 Accepting new patients
NSH Cancer Institute Professional Services a LLC Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Butler St SE
Atlanta, GA 30368
Phone (404) 327-5920

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

1505 Northside Blvd
Ste 4600
Cumming, GA 30041
Phone (770) 205-5292

5670 Peachtree Dunwoody Rd
Ste 1100
Sandy Springs, GA 30342
Phone (404) 851-2300

1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165

Interoperability endpoints

  • Direct secure messaging: azelnak@atlantacancercare.direct.varian.com

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 and National Provider Directory roles.

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1679697791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD STE 4600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417658",
            "telephone_number": "770-205-5292",
            "fax_number": "770-205-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD",
            "address_2": "SUITE 4600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417623",
            "telephone_number": "770-205-5292",
            "fax_number": "770-205-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELNAK",
        "first_name": "AMELIA",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "BZ9881360",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "53634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azelnak@atlantacancercare.direct.varian.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1505 Northside Blvd",
            "address_2": "Suite 4600",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300417623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.