Individual provider Active NPI

Amy R. Mehollin-Ray, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1811163256
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
92201 Issued in GA
Practice address
1405 Clifton Rd NE
Atlanta, GA 30332-2608
Phone
(404) 785-6532
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 92201 GA Primary
Diagnostic Radiology Physician 2085R0202X M9504 TX

Addresses

Primary practice location

1405 Clifton Rd NE
Atlanta, GA 30332-2608

Mailing address

1405 Clifton Rd NE
Atlanta, GA 30332-0001
Phone (404) 785-6532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081230000556 TX Practitioner - Diagnostic Radiology 6608938535 Reassigns benefits to 1 organization
I20220901000571 GA Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 6608938535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Jul 11, 2022 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Jul 11, 2022 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Jul 11, 2022 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Texas Children'S Physician Group CurrentSince Apr 2, 2015 Accepting new patients

Locations

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

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

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6701 Fannin St
Ste 470
Houston, TX 77030
Phone (832) 824-7237

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1811163256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320001",
            "telephone_number": "404-785-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303322608",
            "telephone_number": "404-785-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHOLLIN-RAY",
        "first_name": "AMY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "92201",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M9504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.