NICOLE KOUNALAKIS MD
NPI 1902003684
Surgery - Surgical Oncology in Atlanta, GA

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FY RD NE STE 940A, ATLANTA, GA 30342(404) 851-6000 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Kounalakis Md NPPES

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

NICOLE KOUNALAKIS MD (NPI 1902003684) is an individual surgical oncology provider in Atlanta, Georgia, licensed in Georgia (83380) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1902003684
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameNICOLE KOUNALAKISCredential: MD
Location Address980 JOHNSON FY RD NE STE 940AAtlanta, GA 30342-1609
Mailing Address980 Johnson Fy Rd Ne Ste 940aAtlanta, GA 30342-1609 · (404) 851-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 18, 2019
NPI 1902003684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in GA · 83380
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

980 JOHNSON FY RD NE STE 940A, Atlanta, GA 30342

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Other Identifiers 1

Medicaid47529059CO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Kounalakis Md 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 ID1759474729
PECOS Enrollment IDI20190921000071
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services50 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services66 patients
Mastectomy NAN04
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
0 services1 patient

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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 Nicole Kounalakis's NPI number?

The NPI number for Nicole Kounalakis is 1902003684. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Nicole Kounalakis located?

Nicole Kounalakis practices at 980 Johnson Fy Rd NE Ste 940A, Atlanta, GA 30342. The listed phone number is (404) 851-6000.

What is Nicole Kounalakis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Nicole Kounalakis enrolled in Medicare?

Yes. Nicole Kounalakis 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.

What insurance does Nicole Kounalakis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicole Kounalakis 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 Nicole Kounalakis affiliated with any hospitals?

According to CMS data, Nicole Kounalakis is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Kounalakis was last updated on July 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.