DR. GREGG R CODELLI D.D.S.
NPI 1821141870
Dentist - Periodontics in Atlanta, GA

Q: What is Gregg Codelli's NPI number?

The NPI number for Gregg Codelli is 1821141870. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Q: What is Gregg Codelli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Gregg Codelli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 20, 2007PECOS Enrolled

1707A MOUNT VERNON RD, ATLANTA, GA 30338(770) 668-0604(770) 234-4065 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Gregg R Codelli D.d.s. NPPES

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

DR. GREGG R CODELLI D.D.S. (NPI 1821141870) is an individual periodontics provider in Atlanta, Georgia, licensed in Georgia (10306) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821141870

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. GREGG R CODELLICredential: D.D.S.

Location Address1707A MOUNT VERNON RDAtlanta, GA 30338-4207

Mailing Address3941 Glenncrest Ct NeAtlanta, GA 30319-1893 · (770) 668-0604 · Fax (770) 234-4065

Phone(770) 668-0604

Fax(770) 234-4065

Sole ProprietorYes

Enumeration DateJanuary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821141870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in GA · 10306

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1707A MOUNT VERNON RD, Atlanta, GA 30338

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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. Gregg R Codelli D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30338 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

$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.

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 Gregg Codelli's NPI number?

The NPI number for Gregg Codelli is 1821141870. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Gregg Codelli located?

Gregg Codelli practices at 1707A Mount Vernon Rd, Atlanta, GA 30338. The listed phone number is (770) 668-0604.

What is Gregg Codelli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Gregg Codelli enrolled in Medicare?

Yes. Gregg Codelli is registered in the Medicare PECOS enrollment system.

What insurance does Gregg Codelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gregg Codelli 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 Gregg Codelli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.