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DANELLE MEDLIN CPNP
NPI 1457605974
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since November 06, 2012PECOS Enrolled
1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About Danelle Medlin Cpnp NPPES

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

DANELLE MEDLIN CPNP (NPI 1457605974) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN218652) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457605974
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDANELLE MEDLINCredential: CPNP
Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060
Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362
Phone(404) 785-6670
Fax(404) 785-1362
Sole ProprietorNo
Enumeration DateNovember 6, 2012
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1457605974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN218652
1405 CLIFTON RD NE FL 3, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danelle Medlin Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Danelle Medlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Surgical Professional Services, LLC
8.9 mi
Otolaryngology
4380 GEORGETOWN SQ, SUITE 1002
Atlanta, GA 30338
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1801224506 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician 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.

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.

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.

MATTHEW LEWIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIE NAHODYL PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JESSE FARRIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIFER ANNE TENORIO KETCHAM CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
KINGSLEY DUNWOODY PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
LAUREN KEISTER PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
SHIVANI MUKKAMALA MD
Anesthesiology
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
VICTORIA FERNANDEZ PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670

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 Danelle Medlin's NPI number?

The NPI number for Danelle Medlin is 1457605974. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is Danelle Medlin located?

Danelle Medlin practices at 1405 Clifton Rd NE Fl 3, Atlanta, GA 30322. The listed phone number is (404) 785-6670.

What is Danelle Medlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Danelle Medlin enrolled in Medicare?

Yes. Danelle Medlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danelle Medlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danelle Medlin reassigns Medicare benefits to Georgia 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 Danelle Medlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danelle Medlin was last updated on June 6, 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.