Individual provider Active NPI

Navita Khatri, DPM

  • Podiatrist
  • Stockbridge, GA
National Provider Identifier
1205457348
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001501 Issued in GA
Practice address
299 Country Club Dr
Stockbridge, GA 30281-7350
Phone
(678) 399-2508
Fax
(470) 433-0042
NPI assigned
Apr 29, 2020
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001501 GA Primary

Addresses

Primary practice location

299 Country Club Dr
Stockbridge, GA 30281-7350

Mailing address

3565 Park Bluff LN
Duluth, GA 30096-6645

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804001924 GA Practitioner - Podiatry 9537541727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

100 Greystone Power Blvd
Dallas, GA 30157-0908
Phone (770) 943-7877

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue139
Removal of nail tissue624
Removal or shaving of skin growth314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001501GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Feb 13, 2023 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Feb 13, 2023 Accepting new patients
Village Podiatry Group LLC Podiatrist PastSince Feb 1, 2023 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

100 Market Place Blvd
Ste 302
Cartersville, GA 30121
Phone (470) 790-2008

100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717

3655 Howell Ferry Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-8283

1240 Highway 54 W
Ste 312
Fayetteville, GA 30214
Phone (678) 426-2171

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

500 Medical Center Blvd
Ste 100
Lawrenceville, GA 30046
Phone (770) 822-2166

1100 Johnson Ferry Rd
Ste 375
Marietta, GA 30068
Phone (770) 273-8895

110 Oak Hill Blvd
Ste 101
Newnan, GA 30265

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

299 Country Club Dr
Stockbridge, GA 30281
Phone (678) 399-2508

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: navita.khatri.1@4399.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1205457348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 PARK BLUFF LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 COUNTRY CLUB DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817350",
            "telephone_number": "678-399-2508",
            "fax_number": "470-433-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "NAVITA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.