Individual provider Active NPI

Bhavik Dhyanesh Mehta, AA

  • Anesthesiologist Assistant
  • Austell, GA
National Provider Identifier
1013384205
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
2096
Practice address
1483 Devon Mill Way
Austell, GA 30168-5925
Phone
(404) 660-7646
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 2096 Primary
Anesthesiologist Assistant 367H00000X 7751 GA

Addresses

Primary practice location

1483 Devon Mill Way
Austell, GA 30168-5925

Mailing address

1483 Devon Mill Way
Austell, GA 30168-5925
Phone (404) 660-7646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028002783 GA Practitioner - Anesthesiology Assistant 1355650581 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Nova Southeastern Univ College of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
7751GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northlake Anesthesia Professionals, LLC CurrentSince Oct 1, 2022 Accepting new patients
Rockdale Anesthesia Services, P.C. CurrentSince Jun 1, 2017 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Nov 1, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Feb 1, 2024 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Nov 12, 2018 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1380 Milstead Ave NE
Ste G
Conyers, GA 30012
Phone (770) 388-7745

1612 Milstead Rd NE
#B
Conyers, GA 30012
Phone (770) 388-7745

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1013384205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 DEVON MILL WAY",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685925",
            "telephone_number": "404-660-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 DEVON MILL WAY",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685925",
            "telephone_number": "404-660-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "BHAVIK",
        "middle_name": "DHYANESH",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": "2096",
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "7751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.