MEVELYN KAALLA MD
NPI 1174207567
Hospitalist in Lawrenceville, GA

Q: What is Mevelyn Kaalla's NPI number?

The NPI number for Mevelyn Kaalla is 1174207567. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Mevelyn Kaalla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mevelyn Kaalla was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since June 14, 2023PECOS Enrolled

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000(678) 312-3282 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Jun 20, 2023, Jun 14, 2023 (3 updates tracked since 2023).

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About Mevelyn Kaalla Md NPPES

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

MEVELYN KAALLA MD (NPI 1174207567) is an individual hospitalist provider in Lawrenceville, Georgia, licensed in Georgia (111630) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2023).

NPPES Registry Identity

NPI1174207567

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameMEVELYN KAALLACredential: MD

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694

Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-1000 · Fax (678) 312-3282

Phone(678) 312-1000

Fax(678) 312-3282

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2023

Enumeration DateJune 14, 2023

Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1174207567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 111630

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 111630 (GA)

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mevelyn Kaalla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779943766

PECOS Enrollment IDI20260814000481

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 Reassignment

Medicare enrollment records show Mevelyn Kaalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Atlanta Professional Services LLC

20 mi

Psychologist

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
783 clinicians in this Medicare group

NPI 1316959869 (855) 709-4535

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

Other Providers at the Same Location NPPES 20

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

DR. ROBERT E BLACK III MD

Anesthesiology