Individual provider Active NPI

Meghana Bhatta Kumar, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Conyers, GA
National Provider Identifier
1043639545
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
82537 Issued in GA
Practice address
1501 Milstead Rd NE
Conyers, GA 30012-3838
Phone
(140) 454-5234
NPI assigned
Apr 11, 2014
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 82537 GA Primary

Addresses

Primary practice location

1501 Milstead Rd NE
Conyers, GA 30012-3838

Mailing address

163 Park Dr
Decatur, GA 30030-4482
Phone (404) 545-2345

Other practice location 1

1380 Milstead Ave NE Ste H
Conyers, GA 30012-3864
Phone (770) 388-0118

Other practice location 2

101 Manning Dr
Room 1017
Chapel Hill, NC 27514-4220
Phone (404) 545-2345

Other names 1

  • Meghana Bhatta Former name

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
I20200320002841 GA Practitioner - Endocrinology 5193022556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1501 Milstead Rd NE
Suite 100
Conyers, GA 30012-3849
Phone (770) 388-0118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82537GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Endocrinology Associates East Single Specialty CurrentSince Feb 1, 2020 Accepting new patients
Diabetes and Endocrinology Associates, P.C. Single Specialty Past Accepting new patients

Locations

1380 Milstead Ave NE
Ste H
Conyers, GA 30012
Phone (770) 388-0118

1501 Milstead Rd NE
Ste 100
Conyers, GA 30012
Phone (770) 388-0118

2665 N Decatur Rd
Ste 520
Decatur, GA 30033
Phone (404) 299-2223

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.525008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1043639545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PARK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304482",
            "telephone_number": "404-545-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123838",
            "telephone_number": "140-454-5234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Milstead Ave NE Ste H",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123864",
            "country_code": "US",
            "telephone_number": "770-388-0118",
            "fax_number": "770-388-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_2": "Room 1017",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "404-545-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MEGHANA",
        "middle_name": "BHATTA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "82537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHANA",
            "last_name": "BHATTA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.