Active NPI
Muhammad Aslam Sandvi, MD
- Psychiatry Physician
- Dalton, GA
National Provider Identifier
1194861971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 014021
- Practice address
- 1421 Ross Dr
Suite1
Dalton, GA 30720-3095 - Phone
- (706) 278-2962
- Fax
- (706) 226-0746
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 014021 | GA | Primary |
Addresses
Primary practice location
1421 Ross Dr
Suite1
Dalton, GA 30720-3095
Mailing address
1421 Ross Dr
Suite1
Dalton, GA 30720-3095
Phone (706) 278-2962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00134483D | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025000806 | GA | Practitioner - Psychiatry | 3678766417 | Practice locations: Dalton, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1421 Ross Dr
Dalton, GA 30720-3095
Phone (706) 278-2962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014021 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1194861971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 ROSS DR",
"address_2": "SUITE1",
"city": "DALTON",
"state": "GA",
"postal_code": "307203095",
"telephone_number": "706-278-2962",
"fax_number": "706-226-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 ROSS DR",
"address_2": "SUITE1",
"city": "DALTON",
"state": "GA",
"postal_code": "307203095",
"telephone_number": "706-278-2962",
"fax_number": "706-226-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDVI",
"first_name": "MUHAMMAD",
"middle_name": "ASLAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "014021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00134483D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.