Individual provider Active NPI

Melinda R Mohr, MD

  • Dermatopathology Physician
  • Atlanta, GA
National Provider Identifier
1891955688
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
69498 Issued in GA
Practice address
1901 Phoenix Blvd
Atlanta, GA 30349-5063
Phone
(800) 994-1030
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Dermatopathology Physician 207ND0900X 0101251228 VA
Student in an Organized Health Care Education/Training Program 390200000X 0116019593 VA
Dermatopathology Physician 207ND0900X 69498 GA Primary

Addresses

Primary practice location

1901 Phoenix Blvd
Atlanta, GA 30349-5063

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

Other practice location 1

5301 Virginia Way
suite 300
Brentwood, TN 37027-7541
Phone (615) 221-4400

Other identifiers 2

IdentifierTypeStateIssuer
5920344MedicaidNC
1891955688MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20130718000490 GA Practitioner - Pathology 0941466999 Reassigns benefits to 1 organization
I20221122000938 TN Practitioner - Pathology 0941466999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Eastern Virginia Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1901 Phoenix Blvd
Suite 210
Atlanta, GA 30349-5062
Phone (615) 221-4474

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1329

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116019593VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC CurrentSince Jul 15, 2013 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

1901 Phoenix Blvd
Atlanta, GA 30349
Phone (770) 991-0913

1901 Phoenix Blvd
Ste 210
Atlanta, GA 30349
Phone (800) 994-1030

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1891955688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PHOENIX BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495063",
            "telephone_number": "800-994-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Virginia Way",
            "address_2": "suite 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277541",
            "country_code": "US",
            "telephone_number": "615-221-4400",
            "fax_number": "615-234-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHR",
        "first_name": "MELINDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101251228",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019593",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "69498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920344",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891955688",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.