Individual provider Active NPI

Annal Dhananjayan Meleth, M.D, M.S

  • Ophthalmology Physician
  • Marietta, GA
National Provider Identifier
1962668046
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
144107 Issued in DC
Practice address
895 Canton Rd NE
Suite 100
Marietta, GA 30060-8934
Phone
(770) 427-8111
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 144107 DC Primary
Ophthalmology Physician 207W00000X MD038232 DC
Ophthalmology Physician 207W00000X 069515 GA
Ophthalmology Physician 207W00000X N9470 TX

Addresses

Primary practice location

895 Canton Rd NE
Suite 100
Marietta, GA 30060-8934

Mailing address

895 Canton Rd NE
Suite 100
Marietta, GA 30060-8934
Phone (770) 427-8111

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
I20130801000301 GA Practitioner - Ophthalmology 8729229885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Eye Clinic, PAGroup PAC ID 0143210427, 39 clinicians

Practice addresses (Care Compare)

895 Canton Rd NE
BLDG 100
Marietta, GA 30060-8935
Phone (770) 427-8111

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144107DCMDOphthalmology Physician
MD038232DCMDOphthalmology Physician
N9470TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Eye Clinic, PA Ophthalmology CurrentSince Jul 1, 2013 Accepting new patients
Marietta Eye Clinic PA CurrentSince Jul 1, 2013 Accepting new patients
Marietta Eye Clinic PA Ophthalmology Current Accepting new patients
Marietta Eye Clinic, PA Ophthalmology Past Accepting new patients
Marietta Eye Clinic, PA Past Accepting new patients

Locations

100 Old Ball Ground Hwy
#A
Canton, GA 30114

8841 Hospital Dr
Douglasville, GA 30134
Phone (770) 577-2200

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000

2520 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (770) 952-6851

895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167

2990 Eagle Dr
Ste 110
Woodstock, GA 30189
Phone (678) 460-4810

Organizations & group practices 5

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1962668046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608934",
            "telephone_number": "770-427-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608934",
            "telephone_number": "770-427-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELETH",
        "first_name": "ANNAL",
        "middle_name": "DHANANJAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D, M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "144107",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD038232",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "069515",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N9470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.