Individual provider Active NPI

Ashkan Dianat

  • Pharmacist
  • Norcross, GA
National Provider Identifier
1225724271
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
028881 Issued in GA
Practice address
5901 Goshen Springs Rd Ste H
Norcross, GA 30071-3506
Phone
(770) 500-3834
Fax
(833) 994-0847
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 028881 GA Primary

Addresses

Primary practice location

5901 Goshen Springs Rd Ste H
Norcross, GA 30071-3506

Mailing address

5901 Goshen Springs Rd Ste H
Norcross, GA 30071-3506
Phone (770) 500-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
028881GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amerita South Atlantic LLC PastSince Apr 16, 2023 Accepting new patients
Amerita South Atlantic LLC PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 2

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1225724271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 GOSHEN SPRINGS RD STE H",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713506",
            "telephone_number": "770-500-3834",
            "fax_number": "833-994-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 GOSHEN SPRINGS RD STE H",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713506",
            "telephone_number": "770-500-3834",
            "fax_number": "833-994-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANAT",
        "first_name": "ASHKAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "028881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.