Active NPI
Merry Ellen Sebelik, M.D.
- Otolaryngology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 31659
- Practice address
- 550 Peachtree St NE
Suite 1135
Atlanta, GA 30308-2212 - Phone
- (404) 727-9610
- Fax
- (404) 712-1540
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 31659 | TN | Primary |
| Otolaryngology Physician | 207Y00000X | ME97014 | FL |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1135
Atlanta, GA 30308-2212
Mailing address
550 Peachtree St NE
Suite 1135
Atlanta, GA 30308-2212
Phone (404) 727-9610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00380951 | Other | FL | RAILROAD MEDICARE |
| 56616 | Other | FL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Medical College of Georgia School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31759 | TN | MD | Pharmacotherapy Pharmacist |
| 31659 | TN | MD | Emergency Medicine Physician |
| ME97014 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation | Otolaryngology | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| The Emory Clinic Pediatric Providers | Past | Accepting new patients | |
| Ut Medical Group, Inc. | Past | Accepting new patients | |
| Emory Health Care | Past | 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
550 Peachtree St NE
Fl 9
Atlanta, GA 30308
Phone (404) 686-1850
550 Peachtree St NE
Ste 1135
Atlanta, GA 30308
Phone (404) 525-7409
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144
Interoperability endpoints
- msebelik53284@direct.emory.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1982860490
Otolaryngology
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Pediatric Surgery Physician
- Decatur, GA
- NPI 1720285653
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470528000000",
"number": "1871599332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1135",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-727-9610",
"fax_number": "404-712-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1135",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-727-9610",
"fax_number": "404-712-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBELIK",
"first_name": "MERRY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2016-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "31659",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME97014",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00380951",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56616",
"state": "FL"
}
],
"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 Aug 7, 2016; 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.