Active NPI
Adity Dutta
- Adult Health Nurse Practitioner
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN-NP212745
- Practice address
- 3790 Pleasant Hill Rd Ste 150
Duluth, GA 30096-5144 - Phone
- (770) 979-9427
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN212745 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN-NP212745 | GA | Primary |
Addresses
Primary practice location
3790 Pleasant Hill Rd Ste 150
Duluth, GA 30096-5144
Mailing address
1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3790 Pleasant Hill Rd
Suite 150
Duluth, GA 30096-5144
Phone (770) 979-9427
500 Medical Ctr Blvd
Suite 200
Lawrenceville, GA 30046-3380
Phone (770) 963-2451
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital
- Northside Hospital Forsyth
- Northside Hospital Duluth
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.21 of 100
- Quality
- 52.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP212745 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urological Professional Services, LLC | Current | Accepting new patients | |
| Georgia Urology, PA | Current | Accepting new patients | |
| Georgia Urology PA | Current | Accepting new patients |
Locations
4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893
3790 Pleasant Hill Rd
Ste 150
Duluth, GA 30096
Phone (678) 414-0400
500 Medical Center Blvd
Ste 200
Lawrenceville, GA 30046
Phone (678) 916-7053
1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201
Interoperability endpoints
- adity.duttanp.p1@direct.gupa.nextgenshare.com
Organizations & group practices 3
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.
-
- Urology Physician
- Riverdale, GA
- NPI 1245250646
-
- Urology Physician
- Atlanta, GA
- NPI 1033521810
-
- Ambulatory Surgical Clinic/Center
- Braselton, GA
- NPI 1861222119
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1134748320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 BRANNAN RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534310",
"telephone_number": "678-284-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 PLEASANT HILL RD STE 150",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965144",
"telephone_number": "770-979-9427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTA",
"first_name": "ADITY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN212745",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "APRN-NP212745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.