Individual provider Active NPI

Rukhsana Rizvi, M.D

  • Psychiatry Physician
  • Roswell, GA
National Provider Identifier
1164507679
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
055330 Issued in GA
Practice address
1902 Macy Drive
Atlanta Psychiatric Medicine Inc
Roswell, GA 30076
Phone
(678) 795-0346
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 055330 GA Primary

Addresses

Primary practice location

1902 Macy Drive
Atlanta Psychiatric Medicine Inc
Roswell, GA 30076

Mailing address

1902 Macy Dr
Roswell, GA 30076-6339
Phone (770) 837-9710

Other names 1

  • Rukhsana Rizvi 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
I20050221000111 GA Practitioner - Psychiatry 1456257351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1902 Macy Dr
Roswell, GA 30076-6339
Phone (770) 837-9710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055330GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Psychiatric Medicine, Inc. Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
East Mountain Hospital Inc Past Accepting new patients
East Mountain Hospital, Inc. Psychiatry Past Accepting new patients

Locations

1902 Macy Dr
Roswell, GA 30076
Phone (678) 795-0346

Interoperability endpoints

  • Direct secure messaging: rukhsana.rizvi.1@30623.direct.athenahealth.com
  • Direct secure messaging: rukhsana.rizvi.1@19580.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1164507679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766339",
            "telephone_number": "770-837-9710",
            "fax_number": "678-205-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MACY DRIVE",
            "address_2": "ATLANTA PSYCHIATRIC MEDICINE INC",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "678-795-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "RUKHSANA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "055330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUKHSANA",
            "last_name": "RIZVI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.