Individual provider Active NPI

Pooja Mally, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Duluth, GA
National Provider Identifier
1881856813
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
81690 Issued in GA
Practice address
10080 Medlock Bridge Rd
Duluth, GA 30097-2010
Phone
(404) 953-4023
NPI assigned
Jul 1, 2008
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 81690 GA Primary

Addresses

Primary practice location

10080 Medlock Bridge Rd
Duluth, GA 30097-2010

Mailing address

11080 Medlock Bridge Rd
Duluth, GA 30097
Phone (404) 953-4023

Other names 1

  • Dr. Pooja Sharma Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pooja.mally@opalatlanta.com

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
I20190125002678 GA Practitioner - Ophthalmology 5496092611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10080 Medlock Bridge Rd
Johns Creek, GA 30097-2010
Phone (770) 623-3931

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

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
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81690GAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC Ophthalmology CurrentSince Jan 2, 2019 Accepting new patients
Eugene B Gabianelli MD & Assoc LLC Ophthalmology CurrentSince Jan 2, 2019 Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

200 E Ponce de Leon Ave
Ste 200
Decatur, GA 30030
Phone (404) 298-5557

10080 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (404) 897-6810

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

500 Ross St
#15404
Pittsburgh, PA 15262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1881856813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "404-953-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972010",
            "telephone_number": "404-953-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLY",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "81690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pooja.mally@opalatlanta.com",
            "affiliation": "N",
            "address_1": "10080 Medlock Bridge Rd",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300972010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "SHARMA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.