DR. MAELYNN LA MD
NPI 1669931812
Internal Medicine - Cardiovascular Disease in Tucker, GA

Q: What is Maelynn La's NPI number?

The NPI number for Maelynn La is 1669931812. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Maelynn La's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Maelynn La was last updated on May 13, 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.

Active since March 18, 2019PECOS Enrolled

1468 MONTREAL RD, TUCKER, GA 30084(770) 638-1400(770) 638-1411 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Mar 8, 2023, Mar 3, 2023 and 2 more (5 updates tracked since 2019).

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About Dr. Maelynn La Md NPPES

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

DR. MAELYNN LA MD (NPI 1669931812) is an individual cardiovascular disease provider in Tucker, Georgia, licensed in Georgia (104179) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1669931812

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. MAELYNN LACredential: MD

Location Address1468 MONTREAL RDTucker, GA 30084-6901

Mailing Address655 W 8th St Fl Center, Cardiovascular Center Box C-35Jacksonville, FL 32209-6511 · (904) 244-3932 · Fax (904) 244-3629

Phone(770) 638-1400

Fax(770) 638-1411

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2022

Enumeration DateMarch 18, 2019

Last NPPES UpdateMay 13, 20255 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1669931812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in GA · 104179

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN34942 (FL), 34942 (FL)

1468 MONTREAL RD, Tucker, GA 30084

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Secondary Practice Location 1

Location 1UF Health Jacksonville, 655 West 8th StreetJacksonville, FL 32209 · Phone (904) 244-3932 · Fax (904) 244-3629

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maelynn La Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315318615

PECOS Enrollment IDI20260611004216

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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. SETH CHRISTIAN FAKESS D.O.

Internal Medicine (Cardiovascular Disease)