Mallikarjun Samala, MD in Conyers, GA - Medicare Family Practice

Mallikarjun Samala, MD is a medicare enrolled "Family Medicine" physician in Conyers, Georgia. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Piedmont Hospitalist Physicians Llc, Allatoona Physician Services Pc and his current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 918-8079.

Mallikarjun Samala is licensed to practice in Georgia (license number 79910) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093101511.

Contact Information

	Mallikarjun Samala, MD
	1412 Milstead Ave Ne, Conyers, GA 30012-3877
	(770) 918-8079
	Not Available

Map and Direction

Physician's Profile

Full Name	Mallikarjun Samala
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallikarjun Samala graduated from medical school in 2006

NPI Data:

NPI Number: 1093101511
Provider Enumeration Date: 04/10/2015
Last Update Date: 11/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6709182157
Enrollment ID: I20180813002143

Medical Identifiers

Medical identifiers for Mallikarjun Samala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093101511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1093101511 (Louisiana)	Secondary
207Q00000X	Family Medicine	79910 (Georgia)	Primary
208M00000X	Hospitalist	79910 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Rockdale Hospital	Conyers, GA	Hospital
Cartersville Medical Center	Cartersville, GA	Hospital
Piedmont Newnan Hospital, Inc	Newnan, GA	Hospital
Piedmont Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Hospitalist Physicians Llc	1951299163	396
Allatoona Physician Services Pc	7517342579	33

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mallikarjun Samala allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

Entity Name	Allatoona Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallikarjun Samala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mallikarjun Samala, MD 11085 Callaway Dr, Johns Creek, GA 30097-2622 Ph: (770) 800-3372	Mallikarjun Samala, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-8079

Reviews and Comments

Family Medicine Doctors in Conyers, GA

Mrs. Virginia Birnbach Hyland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Highway 138 Sw Ste A, Conyers, GA 30094 Phone: 770-602-2970 Fax: 404-367-6982
Alvin V Griffin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1039 E Freeway Dr Se, Conyers, GA 30094 Phone: 770-922-0076 Fax: 770-922-0734
Indira R Asser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-922-8653
Yerie Yang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 230, Conyers, GA 30012 Phone: 678-609-4912
Ethel L Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-919-0813 Fax: 770-929-3868
Nayeem Akmal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-929-3868

Mallikarjun Samala, MD - Medicare Family Practice in Conyers, GA