Individual provider Active NPI

Anjana Khadka

  • Family Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1215610787
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN305243 Issued in GA
Practice address
3255 Lawrenceville Suwanee Rd
Suwanee, GA 30024-6540
Phone
(470) 780-1575
Fax
(770) 727-2159
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN305243 GA Primary

Addresses

Primary practice location

3255 Lawrenceville Suwanee Rd
Suwanee, GA 30024-6540

Mailing address

3255 Lawrenceville Suwanee Rd Ste P
Suwanee, GA 30024-6599
Phone (720) 568-9138

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030002519 GA Practitioner - Nurse Practitioner 0244729119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

317 6TH Ave
Suite 400
Des Moines, IA 50309-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN305243GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Jul 12, 2025 Accepting new patients
Televa Health LLC Family CurrentSince Aug 13, 2023 Accepting new patients
Albany ENT & Allergy Services PC Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

3255 Lawrenceville Suwanee Rd
Ste P
Suwanee, GA 30024

3255 Lawrenceville Suwanee Rd
Suwanee, GA 30024

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

1831 E 71st St
Ste 300
Tulsa, OK 74136

4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412

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.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1215610787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 LAWRENCEVILLE SUWANEE RD STE P",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246599",
            "telephone_number": "720-568-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246540",
            "telephone_number": "470-780-1575",
            "fax_number": "770-727-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADKA",
        "first_name": "ANJANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN305243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.