Individual provider Active NPI

Merry Ellen Sebelik, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1871599332
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
31659 Issued in TN
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

Updated by the provider on Aug 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00380951OtherFLRAILROAD MEDICARE
56616OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017000254 GA Practitioner - Otolaryngology 5395632616 Reassigns benefits to 2 organizations

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
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

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 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31759TNMDPharmacotherapy Pharmacist
31659TNMDEmergency Medicine Physician
ME97014FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Sep 3, 2016 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 3, 2016 Accepting new patients
Emory Medical Care Foundation Otolaryngology CurrentSince Sep 3, 2016 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. PastSince Jan 1, 1990 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.