Individual provider Active NPI

Ashwin Thatti

  • Nephrology Physician
  • Athens, GA
National Provider Identifier
1013407253
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
93459 Issued in GA
Practice address
1500 Oglethorpe Ave Ste 500C
Athens, GA 30606-2184
Phone
(706) 546-7484
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 93459 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave Ste 500C
Athens, GA 30606-2184

Mailing address

225 Jennings Mill Pkwy Apt 624
Athens, GA 30606-7340
Phone (646) 981-7972

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
I20240227001476 GA Practitioner - NephrologyPractitioner - Internal Medicine 6305198003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Renal Associates, PCGroup PAC ID 9032277785, 5 clinicians

Practice addresses (Care Compare)

1500 Oglethorpe Ave
Suite 500C
Athens, GA 30606-2184
Phone (706) 546-7484

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93459GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Mar 2, 2024 Accepting new patients
Georgia Renal Associates, PC Nephrology CurrentSince Jan 15, 2024 Accepting new patients

Locations

1500 Oglethorpe Ave
Ste 500C
Athens, GA 30606
Phone (706) 546-7484

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1270 Prince Ave
Ste 201
Athens, GA 30606
Phone (470) 271-3427

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCADA/Endpoint/DJCADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCADA

Organizations & group practices 2

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 5

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1013407253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 JENNINGS MILL PKWY APT 624",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067340",
            "telephone_number": "646-981-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE STE 500C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062184",
            "telephone_number": "706-546-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATTI",
        "first_name": "ASHWIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-08-23",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "93459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.