Individual provider Active NPI

Alyssa M Dhanani, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1124780622
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10567 Issued in GA
Practice address
3225 Cumberland Blvd SE Ste 520
Atlanta, GA 30339-6407
Phone
(678) 915-2000
Fax
(404) 868-3363
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10567 GA Primary

Addresses

Primary practice location

3225 Cumberland Blvd SE Ste 520
Atlanta, GA 30339-6407

Mailing address

3225 Cumberland Blvd SE Ste 520
Atlanta, GA 30339-6407
Phone (678) 915-2000

Other practice location 1

1975 Lakeside Pkwy Ste 300
Tucker, GA 30084-5860
Phone (678) 915-2000

Other practice location 2

1035 Southcrest Dr Ste And250
Stockbridge, GA 30281-6118
Phone (678) 915-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118001455 GA Practitioner - Physician Assistant 8729477401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Endovascular Associates LLCGroup PAC ID 7517316268, 4 clinicians

Practice addresses (Care Compare)

3225 Cumberland Blvd SE
Suite 520
Atlanta, GA 30339-6407
Phone (715) 575-3686

Merit-based Incentive Payment System (MIPS)

Final score
50.89 of 100Reported as group
Quality
13.1
Promoting interoperability
100
Improvement activities
0
Cost
73.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Endovascular Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alyssa.patel.1@12005.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1124780622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "678-915-2000",
            "fax_number": "404-868-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "678-915-2000",
            "fax_number": "404-868-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Lakeside Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300845860",
            "country_code": "US",
            "telephone_number": "678-915-2000",
            "fax_number": "678-915-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Southcrest Dr Ste And250",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816118",
            "country_code": "US",
            "telephone_number": "678-915-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANANI",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.