DR. ROZINA MERCHANT MD
NPI 1407319502
Family Medicine in Decatur, GA

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
200 E PONCE DE LEON AVE, DECATUR, GA 30030(404) 501-6363 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Apr 8, 2019 (2 updates tracked since 2019).

About Dr. Rozina Merchant Md NPPES

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

DR. ROZINA MERCHANT MD (NPI 1407319502) is an individual family medicine provider in Decatur, Georgia, licensed in Georgia (92057) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1407319502
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROZINA MERCHANTCredential: MD
Location Address200 E PONCE DE LEON AVEDecatur, GA 30030-3466
Mailing Address200 E Ponce De Leon Ave Ste 110Decatur, GA 30030-3467 · (404) 501-6363
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1407319502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 92057
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 E PONCE DE LEON AVE, Decatur, GA 30030

Accepted Insurance

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

Dr. Rozina Merchant Md 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 ID9032448816
PECOS Enrollment IDI20220922003202
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 6

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.
292 services155 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
14 services14 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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 7

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

Physician Assistant
200 E PONCE DE LEON AVE
DECATUR, GA 30030
Dentist (Orthodontics and Dentofacial Orthopedics)
200 E PONCE DE LEON AVE
DECATUR, GA 30030
Dentist (Oral and Maxillofacial Surgery)
200 E PONCE DE LEON AVE
DECATUR, GA 30030
Family Medicine
200 E PONCE DE LEON AVE, SUITE 110
DECATUR, GA 30030
Dentist
200 E PONCE DE LEON AVE, #300
DECATUR, GA 30030
Dentist (Oral and Maxillofacial Surgery)
200 E PONCE DE LEON AVE, STE 300
DECATUR, GA 30030
Physician Assistant
200 E PONCE DE LEON AVE
DECATUR, GA 30030

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 Rozina Merchant's NPI number?

The NPI number for Rozina Merchant is 1407319502. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Rozina Merchant located?

Rozina Merchant practices at 200 E Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 501-6363.

What is Rozina Merchant's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rozina Merchant enrolled in Medicare?

Yes. Rozina Merchant 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.

What insurance does Rozina Merchant accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rozina Merchant 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 Rozina Merchant affiliated with any hospitals?

According to CMS data, Rozina Merchant is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Rozina Merchant was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.