DR. ERIKA R HALES MD
NPI 1497940696
Pediatrics in Alpharetta, GA

Q: What is Erika Hales's NPI number?

The NPI number for Erika Hales is 1497940696. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Q: What is Erika Hales's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Erika Hales was last updated on January 7, 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.

Active since September 11, 2007PECOS Enrolled

3550 PRESTON RIDGE RD, ALPHARETTA, GA 30005(917) 687-1462 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Erika R Hales Md NPPES

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

DR. ERIKA R HALES MD (NPI 1497940696) is an individual pediatrics provider in Alpharetta, Georgia, licensed in Georgia (062703) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497940696

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ERIKA R HALESCredential: MD

Location Address3550 PRESTON RIDGE RDAlpharetta, GA 30005-3821

Mailing Address3495 Piedmont Rd Ne, Nine Piedmont Road,Atlanta, GA 30305-1717 · (404) 364-7070

Phone(917) 687-1462

Sole ProprietorNo

Enumeration DateSeptember 11, 2007

Last NPPES UpdateJanuary 7, 2022

✔ NPI 1497940696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in GA · 062703✔ Licensed in PA · 432728

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3550 PRESTON RIDGE RD, Alpharetta, GA 30005

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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)

Dr. Erika R Hales Md 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 Reassignments

Medicare enrollment records show Erika Hales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Southeast Permanente Medical Group

17 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

500 mi

Health Maintenance Organization

13285 MINNIEVILLE ROAD
Woodbridge, VA 22192

Reassigned Medicare billing, Virginia enrollment
995 clinicians in this Medicare group

NPI 1972275196 (301) 816-2424

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 30005 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.

DR. THOMAS JOHN STEIMER II MD

Pediatrics

3550 PRESTON RIDGE RD, PEDIATRICS HEALTH CARE TEAM A
ALPHARETTA, GA 30005

Fulton County (770) 663-3303

LINDA D BELL CNM

Obstetrics & Gynecology

3550 PRESTON RIDGE RD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
ALPHARETTA, GA 30005

Fulton County (770) 663-3163

MRS. JUDITH ELLEN FISHER LCSW

Social Worker (Clinical)

3550 PRESTON RIDGE RD, DEPT OF BEHAVIORAL HEALTH
ALPHARETTA, GA 30005

Fulton County (904) 448-4700

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

Clinical Medical Laboratory

3550 PRESTON RIDGE RD
ALPHARETTA, GA 30005

Fulton County (770) 663-3133

SCOTT DAVID BADER M.D.

Pediatrics

3550 PRESTON RIDGE RD, DEPT OF PEDIATRICS
ALPHARETTA, GA 30005

Fulton County (404) 365-0966

MRS. KELLY THERESA MCKUNE CNM

Advanced Practice Midwife

3550 PRESTON RIDGE RD, KAISER PERMANENTE ALPHARETTA MEDICAL OFFICE
ALPHARETTA, GA 30005

Fulton County (773) 296-7032

DIVYA PATEL PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3550 PRESTON RIDGE RD
ALPHARETTA, GA 30005

Fulton County (770) 663-3104

DR. NAVDEEP MANGAT MD

Family Medicine

3550 PRESTON RIDGE RD
ALPHARETTA, GA 30005

Fulton County (404) 365-0966

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 Erika Hales's NPI number?

The NPI number for Erika Hales is 1497940696. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Erika Hales located?

Erika Hales practices at 3550 Preston Ridge Rd, Alpharetta, GA 30005. The listed phone number is (917) 687-1462.

What is Erika Hales's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erika Hales enrolled in Medicare?

Yes. Erika Hales is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erika Hales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Hales reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Woodbridge, VA). 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 Erika Hales'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 Erika Hales was last updated on January 7, 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.