NPIMap

Individual provider Active NPI

Charmaine I. Emelife, MD

  • Nephrology Physician
  • East Point, GA
National Provider Identifier
1811987209
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
054486 Issued in GA
Practice address
1275 Cleveland Avenue
East Point, GA 30344
Phone
(404) 761-0819
Fax
(404) 761-0819
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 054486 GA
Nephrology Physician 207RN0300X 054486 GA Primary

Addresses

Primary practice location

1275 Cleveland Avenue
East Point, GA 30344

Mailing address

1275 Cleveland Ave
East Point, GA 30344-3433
Phone (404) 761-0819

Other identifiers 1

IdentifierTypeStateIssuer
157444445AMedicaidGA

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
I20050110000138 GA Practitioner - NephrologyPractitioner - Internal Medicine 7618925355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta South Nephrology,PCGroup PAC ID 9739137795, 7 clinicians

Practice addresses (Care Compare)

1275 Cleveland Ave
East Point, GA 30344-3433
Phone (404) 761-0819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
85.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dsi Kennesaw LLC Past Accepting new patients
Dinesh K Bhatia MD PC Nephrology Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charmaine.emelife.1@24920.direct.athenahealth.com
  • Direct secure messaging: charmaine.emelife.1@16594.direct.athenahealth.com

Organizations & group practices 4

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 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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1811987209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443433",
            "telephone_number": "404-761-0819",
            "fax_number": "404-761-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 CLEVELAND AVENUE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-761-0819",
            "fax_number": "404-761-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELIFE",
        "first_name": "CHARMAINE",
        "middle_name": "I.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "054486",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "054486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157444445A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.