NICHOLAS KOULLAS DO
NPI 1407415672
Surgery in Atlanta, GA
About Nicholas Koullas Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS KOULLAS DO (NPI 1407415672) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (105423) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Alabama College Of Osteopathic Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
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
Nicholas Koullas Do 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 Reassignment
Medicare enrollment records show Nicholas Koullas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Nicholas Koullas's NPI number?
The NPI number for Nicholas Koullas is 1407415672. It was assigned to this individual provider in the NPPES registry on June 11, 2019.
Where is Nicholas Koullas located?
Nicholas Koullas practices at 1365 Clifton Rd NE Bldg A Flr 2, Atlanta, GA 30322. The listed phone number is (404) 778-7973.
What is Nicholas Koullas's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Nicholas Koullas enrolled in Medicare?
Yes. Nicholas Koullas 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 Nicholas Koullas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Koullas reassigns Medicare benefits to The Emory Clinic Inc (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 Nicholas Koullas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Koullas 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 Nicholas Koullas 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 Nicholas Koullas affiliated with any hospitals?
According to CMS data, Nicholas Koullas is affiliated with Emory Decatur Hospital and Saint Joseph's Hospital Of Atlanta, Inc.
When was this NPI record last updated?
The NPPES record for Nicholas Koullas was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Nicholas Koullas, DO · NPI 1407415672
Surgery physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 11, 2019.
## Identity
- **NPI:** 1407415672 (Entity type: Individual)
- **Enumerated:** June 11, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 105423 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1365 CLIFTON RD NE, BLDG A FLR 2, Atlanta, GA 30322
- **Phone:** (404) 778-7973
## 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:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Alabama College Of Osteopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407415672) · Data from the CMS NPPES public registry.