Active NPI
Kalvin Ladelle Nathaniel
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO.000336
- Practice address
- 5665 New Northside Dr
320
Atlanta, GA 30328-5831 - Phone
- (770) 874-5400
- NPI assigned
- Apr 18, 2011
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2167 | AL | MD | Emergency Medicine Physician |
| 72290 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenner Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Parish State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Statera Health Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Ies Alabama PLLC | Emergency Medicine | Current | Accepting new patients |
| Peach State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| St. John Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Community Hospital Inc | Current | Accepting new patients | |
| Athens Clarke Medical Enterprises LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Emergency Services of Mississippi Professional Association | Emergency Medicine | Current | Accepting new patients |
| Gwinnett Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Walker Lake Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Georgia PC | Emergency Medicine | Current | Accepting new patients |
| Georgia Emergency Department Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Montgomery PC | Emergency Medicine | Current | Accepting new patients |
| Luling Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Athens Clarke Medical Enterprises LLC | Emergency Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Gwinnett Emergency Specialists Observation Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Community Hospital Inc | Current | Accepting new patients | |
| Vincent Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Madison Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Belle Chasse Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Montgomery Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Community Hospital Inc | Current | Accepting new patients | |
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
-
- Emergency Medicine Physician
- Conyers, GA
- NPI 1437629342
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Emergency Medicine Physician
- Athens, GA
- NPI 1295370542
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1720373129
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1437346467
-
- Emergency Medicine Physician
- Madison, GA
- NPI 1770193419
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morgan Medical Center
- Family Medicine Physician
- Madison, GA
- NPI 1083080105
Hospital
-
dba Morgan Medical Center
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
-
dba Baptist Health Shelby Hospital
- General Acute Care Hospital
- Alabaster, AL
- NPI 1811341167
-
- Critical Access Hospital
- Benton, IL
- NPI 1699778951
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.