Individual provider Active NPI

Ravi Chandran, DMD PHD FACS

  • Oral and Maxillofacial Surgery (Dentist)
  • Snellville, GA
National Provider Identifier
1043496235
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN122555 Issued in GA
Practice address
2386 Clower St Ste 100
Snellville, GA 30078-6134
Phone
(770) 979-9500
Fax
(770) 493-4900
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN122555 GA Primary

Addresses

Primary practice location

2386 Clower St Ste 100
Snellville, GA 30078-6134

Mailing address

2386 Clower St Ste 100
Snellville, GA 30078-6134
Phone (770) 979-9500

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
I20220524002943 GA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 2466686266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Mississippi Medical Center School of Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral Surgery Associates and Dental Implant Center PCGroup PAC ID 9537154968, 9 clinicians

Practice addresses (Care Compare)

4915 Lavista Rd
Tucker, GA 30084-8520
Phone (770) 934-1907

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN122555GAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Maxfacesurgery LLC Oral and Maxillofacial Surgery Current Accepting new patients
Oral Surgery Associates & Dental Implant Center PC Oral and Maxillofacial Surgery CurrentSince Mar 15, 2022 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Mar 4, 2024 Accepting new patients
Emory Medical Care Foundation CurrentSince Mar 4, 2024 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Sentry Anesthesia Management, LLC PastSince Aug 17, 2022 Accepting new patients
Morton County Hospital Past Accepting new patients

Locations

3580 Piedmont Rd NE
Ste 207
Atlanta, GA 30305
Phone (404) 233-5385

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

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

1463 Klondike Rd SW
Ste C
Conyers, GA 30094
Phone (770) 483-9692

1463 Klondike Rd SW
Conyers, GA 30094

7135 Floyd St NE
Covington, GA 30014
Phone (770) 787-2444

10930 Crabapple Rd
Ste 160
Roswell, GA 30075
Phone (678) 781-0050

4915 Lavista Rd
Tucker, GA 30084
Phone (404) 528-3500

Interoperability endpoints

  • Direct secure messaging: rchandran10440@ummc.direct-ci.com

Organizations & group practices 7

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 2

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1043496235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "770-979-9500",
            "fax_number": "770-493-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "770-979-9500",
            "fax_number": "770-493-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "DMD PHD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN122555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.