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DR. MELVIN DANA BULLOCK M.D.
NPI 1093869786
Internal Medicine - Gastroenterology in Roswell, GA

Active since January 22, 2007PECOS Enrolled
92.26/100
CMS Quality Rating
11685 ALPHARETTA HWY, SUITE 320, ROSWELL, GA 30076(770) 442-5882(470) 514-3759 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Melvin Dana Bullock M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELVIN DANA BULLOCK M.D. (NPI 1093869786) is an individual gastroenterology provider in Roswell, Georgia, licensed in Georgia (63638) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1093869786
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MELVIN DANA BULLOCKCredential: M.D.
Location Address11685 ALPHARETTA HWY, SUITE 320Roswell, GA 30076-4913
Mailing Address11685 Alpharetta Hwy, Suite 320Roswell, GA 30076-4913 · (770) 442-5882 · Fax (470) 514-3759
Phone(770) 442-5882
Fax(470) 514-3759
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1093869786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 63638
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 063638 (GA), ME105404 (FL)
11685 ALPHARETTA HWY, Roswell, GA 30076
Open in Google Maps ↗

Other Identifiers 4

Medicaid003101130EGA
Medicaid003101130DGA
Other146KWFL · Bc/bs
OtherP00782776FL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melvin Dana Bullock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335287176
PECOS Enrollment IDI20100524000708
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melvin Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Consultants,pc
Same address
Gastroenterology
11685 ALPHARETTA HWY STE 320
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1568546380 (770) 442-5882
Emory Specialty Associates, LLC
82 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services22 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services32 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEP GAUTAM PATEL PA-C, ATC/L
Physician Assistant
11685 ALPHARETTA HWY
ROSWELL, GA 30076
Fulton County (770) 619-3842
DR. RICHARD STEVEN WINER M.D.
Psychiatry & Neurology (Psychiatry)
11685 ALPHARETTA HWY, SUITE 210
ROSWELL, GA 30076
Fulton County (770) 442-1150
WILLOW CREEK FAMILY MEDICINE, PC
Family Medicine
11685 ALPHARETTA HWY, STE 300
ROSWELL, GA 30076
Fulton County (678) 325-6611
RENAL TREATMENT CENTERS MID ATLANTIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11685 ALPHARETTA HWY, # 100
ROSWELL, GA 30076
Fulton County (678) 393-8144
DR. SERENE ANNIE FRANCIS M D
Internal Medicine (Rheumatology)
11685 ALPHARETTA HWY, SUITE120
ROSWELL, GA 30076
Fulton County (770) 284-3150
DR. ERIC E RADER D.M.D.
Dentist (General Practice)
11685 ALPHARETTA HWY, SUITE # 220
ROSWELL, GA 30076
Fulton County (770) 475-4040
DR. ALEXANDER S VOLJAVEC MD
Internal Medicine
11685 ALPHARETTA HWY, STE 270
ROSWELL, GA 30076
Fulton County (770) 619-5100
HARSH KAPOOR MD
Internal Medicine (Gastroenterology)
11685 ALPHARETTA HWY, SUITE 305
ROSWELL, GA 30076
Fulton County (770) 569-0777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melvin Bullock's NPI number?

The NPI number for Melvin Bullock is 1093869786. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Melvin Bullock located?

Melvin Bullock practices at 11685 Alpharetta Hwy Suite 320, Roswell, GA 30076. The listed phone number is (770) 442-5882.

What is Melvin Bullock's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Melvin Bullock enrolled in Medicare?

Yes. Melvin Bullock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melvin Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Bullock reassigns Medicare benefits to 2 organizations: Gastroenterology Consultants,pc (Roswell, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melvin Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melvin Bullock accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Melvin Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melvin Bullock affiliated with any hospitals?

According to CMS data, Melvin Bullock is affiliated with Northside Hospital Forsyth, Wellstar Kennestone Regional Medical Center, Northside Hospital and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Melvin Bullock was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.