DR. JAMES G MALCOLM MD PHD
NPI 1225562739
Neurological Surgery in Atlanta, GA

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FERRY RD STE 490, ATLANTA, GA 30342(404) 254-3160 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 22, 2024, Apr 12, 2017 (2 updates tracked since 2017).

About Dr. James G Malcolm Md Phd NPPES

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

DR. JAMES G MALCOLM MD PHD (NPI 1225562739) is an individual neurological surgery provider in Atlanta, Georgia, licensed in Georgia (99589) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1225562739
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JAMES G MALCOLMCredential: MD PHD
Location Address980 JOHNSON FERRY RD STE 490Atlanta, GA 30342-1607
Mailing Address1365 Clifton Rd Ne, B6200Atlanta, GA 30322-1013 · (404) 778-5000
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1225562739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in GA · 99589
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
980 JOHNSON FERRY RD STE 490, Atlanta, GA 30342

Secondary Practice Location 1

Location 11365 Clifton Rd NE, B6200Atlanta, GA 30322-1013 · Phone (404) 778-5000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James G Malcolm Md Phd 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 ID345512810
PECOS Enrollment IDI20240716001517
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 James Malcolm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group

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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee 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

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.

Other Providers at the Same Location NPPES 2

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

Neurological Surgery
980 JOHNSON FERRY RD STE 490
ATLANTA, GA 30342
Psychiatry & Neurology (Neurology)
980 JOHNSON FERRY RD STE 490
ATLANTA, GA 30342

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 James Malcolm's NPI number?

The NPI number for James Malcolm is 1225562739. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is James Malcolm located?

James Malcolm practices at 980 Johnson Ferry Rd Ste 490, Atlanta, GA 30342. The listed phone number is (404) 254-3160.

What is James Malcolm's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is James Malcolm enrolled in Medicare?

Yes. James Malcolm 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.

Which organization bills Medicare for James Malcolm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Malcolm reassigns Medicare benefits to Northside Surgical Professional Services LLC (Atlanta, GA). The 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 James Malcolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Malcolm 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 James Malcolm 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 James Malcolm affiliated with any hospitals?

According to CMS data, James Malcolm is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for James Malcolm was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.