GRADY MEMORIAL HOSPITAL CORPORATION
NPI 1649765686
Clinic/Center - Multi-Specialty in Atlanta, GA

Active since June 22, 2018
3896 PRINCETON LAKES WAY, ATLANTA, GA 30331(404) 616-8880 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grady Memorial Hospital Corporation NPPES

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

GRADY MEMORIAL HOSPITAL CORPORATION (NPI 1649765686) is a healthcare organization registered as a multi-specialty in Atlanta, Georgia and active in the NPI registry since June 2018. The organization lists Tamara Anne Nilmeier, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1649765686
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGRADY MEMORIAL HOSPITAL CORPORATION
Location Address3896 PRINCETON LAKES WAYAtlanta, GA 30331
Mailing Address80 Jesse Hill Jr Dr Se # 26042Atlanta, GA 30303-3031 · (404) 616-8880 · Fax (404) 489-6920
Organization SubpartYes
Authorized OfficialTamara Anne NilmeierDirector Of Revenue Cycle · (404) 616-8880
Enumeration DateJune 22, 2018
✔ NPI 1649765686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3896 PRINCETON LAKES WAY, Atlanta, GA 30331

Other Identifiers 1

Other060-641GA · Business Permit

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grady Memorial Hospital Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

793

Medicare enrollment records show 793 clinicians reassign Medicare billing to Grady Memorial Hospital Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 69 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner280
Certified Registered Nurse Anesthetist (CRNA)175
Anesthesiology Assistant112
Family Practice60
Mental Health Counselor31
Diagnostic Radiology20
Internal Medicine17
Neurology14
21 other specialties84

Nearest to this location (20)

See all 793
Pediatric Medicine
NPI 1255697256
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
(404) 489-4444
✔ PECOSSame address
Internal Medicine
NPI 1962410746
3896 PRINCETON LAKES WAY
Atlanta, GA 30303
(919) 684-8111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144617010
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
(404) 489-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346792983
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
(404) 616-8880
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992240428
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
(404) 489-4444
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1962765321
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
(404) 489-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356851406
3800 PRINCETON LAKES PKWY SW
Atlanta, GA 30331
(678) 732-1500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1083665491
3890 REDWINE RD SW SUITE 104
Atlanta, GA 30331
(404) 629-9495
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1245501592
3896 PRINCETON LAKES WAY SW
Atlanta, GA 30331
(404) 489-4444
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1740866292
3896 PRINCETON LAKES WAY SW
Atlanta, GA 30331
(404) 489-4444
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1922411636
3886 PRINCETON LAKES WAY SW STE 120
Atlanta, GA 30331
(404) 530-3070
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1326411596
3645 MARKETPLACE BLVD STE 130-33
East Point, GA 30344
(470) 485-8118
✔ PECOS✔ Accepts Medicare0.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326385097
2047 BRIAR TRAIL CT SW DEPT OF
Atlanta, GA 30331
(404) 295-1118
✔ Accepts Medicare2.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184680894
2600 ESSEX LN SW
Atlanta, GA 30331
(404) 228-2906
✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1558712679
4307 RAINER DR
Atlanta, GA 30349
(404) 453-8402
✔ PECOS3.5 mi
Family Practice
NPI 1386644961
1595 CLEVELAND AVE
East Point, GA 30344
(404) 616-2886
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1447991302
1595 CLEVELAND AVE
East Point, GA 30344
(404) 616-1000
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1588167340
1595 CLEVELAND AVE
East Point, GA 30344
(919) 264-2264
✔ PECOS4.5 mi
Mental Health Counselor
NPI 1558983080
1903 PHOENIX BLVD
Atlanta, GA 30349
(678) 335-9010
✔ PECOS4.7 mi
Psychiatry
NPI 1750680278
3915 CASCADE RD SW STE T-150
Atlanta, GA 30331
(470) 819-4849
✔ PECOS4.9 mi
See all 793 clinicians

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

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 Grady Memorial Hospital Corporation's NPI number?

The NPI number for Grady Memorial Hospital Corporation is 1649765686. It was assigned to this organization in the NPPES registry on June 22, 2018.

Where is Grady Memorial Hospital Corporation located?

Grady Memorial Hospital Corporation is located at 3896 Princeton Lakes Way, Atlanta, GA 30331. The listed phone number is (404) 616-8880.

What is Grady Memorial Hospital Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Grady Memorial Hospital Corporation enrolled in Medicare?

Yes. Grady Memorial Hospital Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grady Memorial Hospital Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 793 clinicians in 29 Medicare specialties reassign their Medicare billing to Grady Memorial Hospital Corporation. A 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 the clinician's services. The largest specialties are Nurse Practitioner (280), Certified Registered Nurse Anesthetist (CRNA) (175) and Anesthesiology Assistant (112). Of these, 6 practice at this address and 69 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grady Memorial Hospital Corporation accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Grady Memorial Hospital Corporation 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.

When was this NPI record last updated?

The NPPES record for Grady Memorial Hospital Corporation was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.