Active NPI
Chhavi V Noohani, DO
- Family Medicine Physician
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 66974
- Practice address
- 900 Towne Lake Pkwy
Ste. 104
Woodstock, GA 30189-1600 - Phone
- (770) 639-5880
- Fax
- (770) 693-5902
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9536 | FL | |
| Family Medicine Physician | 207Q00000X | 66974 | GA | Primary |
Addresses
Primary practice location
900 Towne Lake Pkwy
Ste. 104
Woodstock, GA 30189-1600
Mailing address
900 Towne Lake Pkwy
Ste. 104
Woodstock, GA 30189-1600
Phone (770) 639-5880
Other practice location 1
4550 Cobb Parkway North NW Ste 101
Acworth, GA 30101-4181
Phone (770) 917-8140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30712 | Other | FL | BCBS |
| 274065600 | Medicaid | FL | |
| P00387710 | Other | RAILROAD MEDICARE |
Other names 1
- Chhavi Vig Noohani
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnoohani64160@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 Campus Loop Rd NW
Kennesaw, GA 30144-3227
Phone (470) 578-6644
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66974 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Pasco Hernando Hma Physician Management, LLC | Family Medicine | Past | Accepting new patients |
| Osprey Emergency Physicians LLC | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Point of Care Clinic Central LLC | Past | Accepting new patients | |
| Wellstar Acworth Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
4550 Cobb Parkway North NW
Ste 101
Acworth, GA 30101
Phone (470) 956-0100
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
3215 Campus Loop Rd NW
Kennesaw, GA 30144
Phone (470) 578-6644
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
Networks
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Interoperability endpoints
- cnoohani64160@directwellstar.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Acworth Family Practice
- Family Medicine Physician
- Acworth, GA
- NPI 1942506654
-
- Family Medicine Physician
- Acworth, GA
- NPI 1740489103
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1063461960
-
- Obstetrics & Gynecology Physician
- Dade City, FL
- NPI 1003848359
Family Medicine
-
- Multi-Specialty Clinic/Center
- Zephyrhills, FL
- NPI 1528014131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1003828021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY",
"address_2": "STE. 104",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891600",
"telephone_number": "770-639-5880",
"fax_number": "770-693-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY",
"address_2": "STE. 104",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891600",
"telephone_number": "770-639-5880",
"fax_number": "770-693-5902"
}
],
"practiceLocations": [
{
"address_1": "4550 Cobb Parkway North NW Ste 101",
"address_purpose": "LOCATION",
"city": "Acworth",
"state": "GA",
"postal_code": "301014181",
"country_code": "US",
"telephone_number": "770-917-8140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOOHANI",
"first_name": "CHHAVI",
"middle_name": "V",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9536",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "66974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30712",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274065600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00387710",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnoohani64160@directwellstar.org",
"affiliation": "N",
"address_1": "4550 Cobb Parkway North NW Ste 101",
"city": "Acworth",
"state": "GA",
"country_code": "US",
"postal_code": "301014181",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHHAVI",
"last_name": "NOOHANI",
"middle_name": "VIG",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Woodstock, GA
- Melanie Jayne Nimmo, LPCC
- Kelly Brumbelow Nix, FNP, BC
- Sharon R. Nix, LPC
- Noah's Ark Youth and Family Services LLC (Nayfs)
- Reginald Noel
- Penny Nordin, M.A., CCC/SLP
- North Atlanta Scan Associates (Open Woodstock Imaging Center)
- North Atlanta Therapy, LLC
- North Fulton Primary Care - Wylie Bridge, LLC
- North Georgia Audiology and Hearing Aid Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.