Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallikarjun Samala, MD

Individual provider Family Medicine Physician · NPI 1093101511

Mallikarjun Samala, MD is a Family Practice in Conyers, Georgia. Qualified in 2006, 20 years ago. Practices with Piedmont Hospitalist Physicians LLC, a 497-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Louisiana.

Years since qualifying
20
Licensed in
GA, LA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone: (770) 918-8079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11085 Callaway Dr, Johns Creek, GA 30097-2622 — (770) 800-3372

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 79910 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1093101511 (LA)
Hospitalist Physician Taxonomy 208M00000X · Licence 79910 (GA)

Record details

NPI number1093101511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2015
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address11085 Callaway Dr, Johns Creek, GA 30097-2622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Piedmont Hospitalist Physicians Llc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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