Individual provider Active NPI

Indira Chervu, M.D.

  • Nephrology Physician
  • Marietta, GA
National Provider Identifier
1235133869
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
GA040032 Issued in GA
Practice address
55 Whitcher St NE
Ste 460
Marietta, GA 30060-1171
Phone
(770) 427-7389
Fax
(770) 427-2845
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X GA040032 GA Primary
Specialist 174400000X 040032 GA

Addresses

Primary practice location

55 Whitcher St NE
Ste 460
Marietta, GA 30060-1171

Mailing address

55 Whitcher St NE
Ste 460
Marietta, GA 30060-1171
Phone (770) 427-7389

Other identifiers 16

IdentifierTypeStateIssuer
000665706DMedicaidGA
000665706GMedicaidGA
000665706HMedicaidGA
000665706IMedicaidGA
000665706BMedicaidGA
000665706JMedicaidGA
000665706LMedicaidGA
000665706TMedicaidGA
000665706EMedicaidGA
000665706QMedicaidGA
00665706AMedicaidGA
000665706RMedicaidGA
000665706CMedicaidGA
000665706KMedicaidGA
000665706OMedicaidGA
000665706NMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INDIRACHERVU@GEORGIAKID.ALLSCRIPTSDIRECT.NET

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
I20110308000622 GA Practitioner - NephrologyPractitioner - Internal Medicine 3476462292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Kidney Associates, Inc.Group PAC ID 1951399799, 16 clinicians

Practice addresses (Care Compare)

55 Whitcher St
Suite 460
Marietta, GA 30060-1171
Phone (770) 427-7389

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040032GAMDSpecialist
GA040032GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Kidney Associates, Inc. Specialist CurrentSince Jul 17, 1995 Accepting new patients

Locations

3372 Acworth Summit Blvd NW
Acworth, GA 30101
Phone (770) 529-1141

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1886 Stallion Pkwy
Austell, GA 30106
Phone (770) 944-3237

3602 Marathon Cir
Austell, GA 30106
Phone (770) 222-0253

411 Hospital Rd
Canton, GA 30114
Phone (770) 479-0259

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

14 Roving Rd
Cartersville, GA 30121
Phone (770) 386-8168

4645 Timber Ridge Dr
Ste 140
Douglasville, GA 30135
Phone (678) 838-3233

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

3919 Atlanta Hwy
Hiram, GA 30141
Phone (770) 443-9048

144 Bill Carruth Pkwy
Ste 1400
Hiram, GA 30141
Phone (770) 428-4486

2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274

1277 Kennestone Cir
Ste 600
Marietta, GA 30066
Phone (770) 424-8391

55 Whitcher St NE
Ste 460
Marietta, GA 30060
Phone (770) 427-7389

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

100 Stoneforest Dr
Ste 130
Woodstock, GA 30189
Phone (678) 388-1621

120 Stonebridge Pkwy
Ste 410
Woodstock, GA 30189
Phone (770) 209-3766

110 Londonderry Ct
Ste 100
Woodstock, GA 30188
Phone (770) 592-3439

110 Londonderry Ct
Woodstock, GA 30188

Interoperability endpoints

  • Direct secure messaging: indirachervu@georgiakid.allscriptsdirect.net
  • Direct secure messaging: indira.chervu@gka.gadirect.net

Organizations & group practices 1

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 7

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1235133869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE",
            "address_2": "STE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601171",
            "telephone_number": "770-427-7389",
            "fax_number": "770-427-2845"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "address_1": "55 WHITCHER ST NE",
            "address_2": "STE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601171",
            "telephone_number": "770-427-7389",
            "fax_number": "770-427-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVU",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "GA040032",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "040032",
            "primary": false
        }
    ],
    "identifiers": [
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        },
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "000665706N",
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        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INDIRACHERVU@GEORGIAKID.ALLSCRIPTSDIRECT.NET",
            "affiliation": "N",
            "address_1": "55 Whitcher St NE",
            "address_2": "Ste 460",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.