Individual provider Active NPI

Tanvi Desai, D.C,

  • Chiropractor
  • Dunwoody, GA
National Provider Identifier
1144612144
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009447 Issued in GA
Practice address
1705 Mount Vernon Rd Ste a
Dunwoody, GA 30338-4257
Phone
(404) 509-5524
NPI assigned
Feb 27, 2015
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009447 GA Primary

Addresses

Primary practice location

1705 Mount Vernon Rd Ste a
Dunwoody, GA 30338-4257

Mailing address

2150 Bryant Pointe Dr
Marietta, GA 30066-4699
Phone (404) 509-5524

Other practice location 1

12220 Birmingham Hwy
Suite 40
Milton, GA 30004-4186
Phone (770) 777-2377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021002166 GA Practitioner - Chiropractic 2466783659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1730 Mount Vernon Rd
Suite C
Dunwoody, GA 30338-4245
Phone (470) 719-9539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009447GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Chiropractic Care LLC CurrentSince Sep 4, 2019 Accepting new patients
Alpha Spine Center, Inc. Chiropractor PastSince Mar 7, 2024 Accepting new patients

Locations

1705 Mount Vernon Rd
Ste A
Dunwoody, GA 30338
Phone (404) 509-5524

1730 Mount Vernon Rd
Ste C
Dunwoody, GA 30338
Phone (470) 719-9539

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1144612144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BRYANT POINTE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664699",
            "telephone_number": "404-509-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "404-509-5524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12220 Birmingham Hwy",
            "address_2": "Suite 40",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "300044186",
            "country_code": "US",
            "telephone_number": "770-777-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "TANVI",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.