DR. KALVIN LADELLE NATHANIEL
NPI 1740570183
Emergency Medicine in Atlanta, GA

Active since April 18, 2011PECOS EnrolledAccepts Medicare Assignment
90.44/100
CMS Quality Rating
5665 NEW NORTHSIDE DR, 320, ATLANTA, GA 30328(770) 874-5400 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kalvin Ladelle Nathaniel NPPES

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

DR. KALVIN LADELLE NATHANIEL (NPI 1740570183) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Louisiana (DO.000336) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Morgan Medical Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (2011).

NPPES Registry Identity

NPI1740570183
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KALVIN LADELLE NATHANIEL
Location Address5665 NEW NORTHSIDE DR, 320Atlanta, GA 30328-5831
Mailing Address5665 New Northside Dr, 320Atlanta, GA 30328-5831 · (770) 874-5400
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2011
Enumeration DateApril 18, 2011
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1740570183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in LA · DO.000336✔ Licensed in AL · DO.2167✔ Licensed in GA · 72290
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5665 NEW NORTHSIDE DR, Atlanta, GA 30328

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

Dr. Kalvin Ladelle Nathaniel 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.

PECOS PAC ID5193957694
PECOS Enrollment IDI20140826000781, I20200922001681, I20240603003242
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

28

Medicare enrollment records show Kalvin Nathaniel reassigns Medicare billing to 28 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
2890 DELK RD SE
Marietta, GA 30067
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
Emergency Medicine
2701 N DECATUR RD
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 128 clinicians in this Medicare group
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
Emergency Medicine
1412 MILSTEAD AVE NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 85 clinicians in this Medicare group
Emergency Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 92 clinicians in this Medicare group
Emergency Medicine
601 S 8TH ST
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
Emergency Medicine
1230 BAXTER ST
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
Emergency Medicine
1740 LIONS CLUB RD
Madison, GA 30650
  • Reassigned Medicare billing, Georgia enrollment
  • 25 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
171 services166 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
134 services130 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Morgan Medical Center

Critical Access Hospitals · Madison, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111304
Location1740 Lions Club RoadMadison, GA 30650 · Morgan County
Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Improvement Activities40
Cost66.71

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.

Nurse Practitioner (Family)
5665 NEW NORTHSIDE DR, SUITE 200
ATLANTA, GA 30328
Physician Assistant
5665 NEW NORTHSIDE DR
ATLANTA, GA 30328
Physician Assistant
5665 NEW NORTHSIDE DR
ATLANTA, GA 30328
Community/Behavioral Health
5665 NEW NORTHSIDE DR
ATLANTA, GA 30328
General Practice
5665 NEW NORTHSIDE DR, SUITE 520
ATLANTA, GA 30328
Nurse Practitioner (Family)
5665 NEW NORTHSIDE DR, SUITE 320
ATLANTA, GA 30328
Emergency Medicine
5665 NEW NORTHSIDE DR, SUITE 320
ATLANTA, GA 30328
Nurse Practitioner
5665 NEW NORTHSIDE DR, SUITE 320
ATLANTA, GA 30328

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 Kalvin Nathaniel's NPI number?

The NPI number for Kalvin Nathaniel is 1740570183. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Kalvin Nathaniel located?

Kalvin Nathaniel practices at 5665 New Northside Dr 320, Atlanta, GA 30328. The listed phone number is (770) 874-5400.

What is Kalvin Nathaniel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kalvin Nathaniel enrolled in Medicare?

Yes. Kalvin Nathaniel 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 organizations bill Medicare for Kalvin Nathaniel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalvin Nathaniel reassigns Medicare benefits to 28 organizations: Wellstar Medical Group, LLC (Marietta, GA), The Bortolazzo Group, LLC (Austell, GA), Cep America LLC (Decatur, GA), Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA), Gwinnett Emergency Specialists, LLC (Lawrenceville, GA) and 23 more organizations, listed in the Medicare section above. 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 Kalvin Nathaniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalvin Nathaniel accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama, Oscar Health and Oscar Insurance Company list Kalvin Nathaniel 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 Kalvin Nathaniel affiliated with any hospitals?

According to CMS data, Kalvin Nathaniel is affiliated with Morgan Medical Center and Marshall Browning Hospital.

When was this NPI record last updated?

The NPPES record for Kalvin Nathaniel was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.