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MR. MERVYN B. FORMAN M.D.
NPI 1215027461
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
975 JOHNSON FERRY RD NE, STE 340, ATLANTA, GA 30342(404) 256-0121(404) 843-0355 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mervyn B. Forman M.d. NPPES

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

MR. MERVYN B. FORMAN M.D. (NPI 1215027461) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (035873) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1215027461
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. MERVYN B. FORMANCredential: M.D.
Location Address975 JOHNSON FERRY RD NE, STE 340Atlanta, GA 30342-1619
Mailing Address975 Johnson Ferry Rd Ne, Ste 340Atlanta, GA 30342-1619 · (404) 256-0121 · Fax (404) 843-0355
Phone(404) 256-0121
Fax(404) 843-0355
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 16, 2006
Last NPPES UpdateJanuary 17, 2008
✔ NPI 1215027461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 035873
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
975 JOHNSON FERRY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA96909GA
Medicare PIN06BDFKXGA
Medicaid000526446DGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mervyn B. Forman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284705906
PECOS Enrollment IDI20080624000105
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.

Areas of Expertise CMS Part B claims 7

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 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.
382 services124 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
196 services103 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
68 services68 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
67 services67 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
67 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
61 services46 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims28 services$5.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSEPH H BARNES M.D.
Obstetrics & Gynecology (Gynecology)
975 JOHNSON FERRY RD NE, SUITE 400
ATLANTA, GA 30342
Fulton County (404) 252-1137
OBSTETRICS & GYNECOLOGY OF ATLANTA II LLC
Clinic/Center
975 JOHNSON FERRY RD NE, SUITE 400
ATLANTA, GA 30342
Fulton County (404) 943-0205
DR. EDWIN H. DONNELLY M.D.
Ophthalmology (Retina Specialist)
975 JOHNSON FERRY RD NE, SUITE 370
ATLANTA, GA 30342
Fulton County (404) 250-1242
ALLYSON B MASKE M.D.
Plastic Surgery
975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA, GA 30342
Fulton County (404) 256-1311
ATLANTA PLASTIC SURGERY PC
Plastic Surgery
975 JOHNSON FERRY RD NE, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 256-1311
DIANNE MCMULLEN N.P.
Obstetrics & Gynecology
975 JOHNSON FERRY RD NE, SUITE 400
ATLANTA, GA 30342
Fulton County (404) 252-1137
LESTER FRANKLYN ELLIOTT II M.D.
Plastic Surgery
975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA, GA 30342
Fulton County (404) 256-1311
LISA R ALLEN APRN-BC
Nurse Practitioner (Family)
975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA, GA 30342
Fulton County (404) 256-1311

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 Mervyn Forman's NPI number?

The NPI number for Mervyn Forman is 1215027461. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Mervyn Forman located?

Mervyn Forman practices at 975 Johnson Ferry Rd NE Ste 340, Atlanta, GA 30342. The listed phone number is (404) 256-0121.

What is Mervyn Forman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mervyn Forman enrolled in Medicare?

Yes. Mervyn Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mervyn Forman affiliated with any hospitals?

According to CMS data, Mervyn Forman is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Mervyn Forman was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.