Individual provider Active NPI

Pratik Thaker, M.D.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1174054894
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84790 Issued in GA
Practice address
371 E Paces Ferry Rd NE Ste 300
Atlanta, GA 30305-3292
Phone
(404) 350-2060
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84790 GA Primary

Addresses

Primary practice location

371 E Paces Ferry Rd NE Ste 300
Atlanta, GA 30305-3292

Mailing address

371 E Paces Ferry Rd NE Ste 300
Atlanta, GA 30305-3292

Other practice location 1

1900 10th Ave Ste 100
Columbus, GA 31901-3601
Phone (706) 571-1120

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
I20200720003537 GA Practitioner - Family Practice 7214208818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

371 E Paces Ferry Rd NE
Suite 300
Atlanta, GA 30305-3292
Phone (404) 350-2060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Feb 16, 2026 Accepting new patients
Piedmont Providers LLC PastSince Aug 2, 2020 Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

371 E Paces Ferry Rd NE
Ste 300
Atlanta, GA 30305
Phone (404) 350-2060

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

12000 Findley Rd
Johns Creek, GA 30097

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1174054894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY RD NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY RD NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053292",
            "telephone_number": "404-350-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 10th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319013601",
            "country_code": "US",
            "telephone_number": "706-571-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKER",
        "first_name": "PRATIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "84790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.