DR. ROZINA MERCHANT MD
NPI 1407319502
Family Medicine in Decatur, GA
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
Specialties & Licenses 2
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rozina Merchant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 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 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.
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, GAEmory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician 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.
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.
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.
DECATUR, GA 30030
DECATUR, GA 30030
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.
Which organizations bill Medicare for Rozina Merchant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rozina Merchant reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, 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 Rozina Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 and 1 other insurer 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 4 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.
# Dr. Rozina Merchant, MD · NPI 1407319502
Family Medicine physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since April 8, 2019.
## Identity
- **NPI:** 1407319502 (Entity type: Individual)
- **Enumerated:** April 8, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 92057 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E PONCE DE LEON AVE, Decatur, GA 30030-3466
- **Phone:** (404) 501-6363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407319502) · Data from the CMS NPPES public registry.