Individual provider Active NPI

Chhavi V Noohani, DO

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1003828021
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66974 Issued in GA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30712OtherFLBCBS
274065600MedicaidFL
P00387710OtherRAILROAD MEDICARE

Other names 1

  • Chhavi Vig Noohani Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000654 GA Practitioner - Family Practice 4688569171 Reassigns benefits to 1 organization

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
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
66974GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2013 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC Family Medicine CurrentSince Dec 1, 2013 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.