Individual provider Active NPI

Kalvin Ladelle Nathaniel

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1740570183
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO.000336 Issued in LA
Practice address
5665 New Northside Dr
320
Atlanta, GA 30328-5831
Phone
(770) 874-5400
NPI assigned
Apr 18, 2011
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO.2167 AL
Emergency Medicine Physician 207P00000X 72290 GA
Emergency Medicine Physician 207P00000X DO.000336 LA Primary

Addresses

Primary practice location

5665 New Northside Dr
320
Atlanta, GA 30328-5831

Mailing address

5665 New Northside Dr
320
Atlanta, GA 30328-5831
Phone (770) 874-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA, AL, IL, MS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140416000971 LA Practitioner - Emergency Medicine 5193957694 Reassigns benefits to 6 organizations
I20140826000781 GA Practitioner - Emergency Medicine 5193957694 Reassigns benefits to 13 organizations
I20200922001681 AL Practitioner - Emergency Medicine 5193957694 Reassigns benefits to 5 organizations
I20240603003242 IL Practitioner - Emergency Medicine 5193957694 Reassigns benefits to 3 organizations
I20251103001072 MS Practitioner - Emergency Medicine 5193957694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
Walker Lake Emergency Group PCGroup PAC ID 0840531919, 31 clinicians
Georgia Emergency Department Services, P.C.Group PAC ID 5597751032, 76 clinicians
Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651

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

1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 342-1667

201 Bailey LN
Benton, IL 62812-1969
Phone (618) 439-3161

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 537-3337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2167ALMDEmergency Medicine Physician
72290GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Parish State Emergency Physicians LLC Emergency Medicine CurrentSince May 2, 2025 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince Apr 9, 2024 Accepting new patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince Apr 28, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 3, 2023 Accepting new patients
Community Hospital Inc Current Accepting new patients
Athens Clarke Medical Enterprises LLC Emergency Medicine CurrentSince Mar 25, 2023 Accepting new patients
Acs Emergency Services of Mississippi Professional Association Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Jun 14, 2018 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Apr 4, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC Emergency Medicine CurrentSince Apr 30, 2017 Accepting new patients
Georgia Emergency Department Services, P.C. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
Luling Emergency Group LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Athens Clarke Medical Enterprises LLC Emergency Medicine CurrentSince Mar 25, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC Emergency Medicine CurrentSince Jun 14, 2018 Accepting new patients
Community Hospital Inc CurrentSince Aug 1, 2020 Accepting new patients
Vincent Emergency Group, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Madison Emergency Group, PC Emergency Medicine CurrentSince Apr 28, 2021 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Oct 17, 2021 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Community Hospital Inc CurrentSince Aug 1, 2020 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Jun 10, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations (25 of 42)

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

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

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

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: knathaniel2018552@direct.trinity-health.org

Organizations & group practices 36

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.

View all 36

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1740570183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR",
            "address_2": "320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR",
            "address_2": "320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANIEL",
        "first_name": "KALVIN",
        "middle_name": "LADELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.2167",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "72290",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "DO.000336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.