NPIMap

Organization Active NPI

Mindspring LLC

  • Psychiatry Physician
  • Acworth, GA
National Provider Identifier
1073043659
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
056188 Issued in GA
Legal business name
MINDSPRING LLC
Practice address
5283 Bells Ferry Rd Ste 120
Acworth, GA 30102-7565
Phone
(770) 999-0746
Fax
(470) 317-2032
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Dr. Rohit Khanna, MDNPI 1225144140
Title
Owner
Phone
(404) 272-9748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 056188 GA Primary

Addresses

Primary practice location

5283 Bells Ferry Rd Ste 120
Acworth, GA 30102-7565

Mailing address

1640 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-5491
Phone (770) 426-9929

National Provider Directory

National Provider Directory

Locations

1640 Powers Ferry Rd SE
Bldg 17-100
Marietta, GA 30067
Phone (770) 426-9929

1640 Powers Ferry Rd SE
Ste 100
Marietta, GA 30067
Phone (404) 362-7442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1073043659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "770-426-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 BELLS FERRY RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027565",
            "telephone_number": "770-999-0746",
            "fax_number": "470-317-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPRING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-272-9748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "056188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.