Individual provider Active NPI

Ashim Mehta, M.D.

  • Psychiatry Physician
  • Rome, GA
National Provider Identifier
1255770780
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
077292 Issued in GA
Practice address
306 Shorter Ave NW
Rome, GA 30165-4268
Phone
(706) 509-3500
NPI assigned
Jun 18, 2013
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 077292 GA Primary
Psychiatry Physician 2084P0800X 77292 GA

Addresses

Primary practice location

306 Shorter Ave NW
Rome, GA 30165-4268

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

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
I20170707002740 GA Practitioner - Psychiatry 2769612589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77292GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Valley Psychiatry LLC Psychiatry CurrentSince Aug 12, 2023 Accepting new patients
Hamilton Physician Group Inc CurrentSince Jun 1, 2017 Accepting new patients
Floyd Physicians, LLC Psychiatry CurrentSince Aug 1, 2020 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Hamilton Medical Center, Inc. PastSince Jul 1, 2021 Accepting new patients
Dalton Cardiology, P.C. Past Accepting new patients

Locations

1107 Memorial Dr
Ste 102
Dalton, GA 30720
Phone (706) 529-7124

1436 Broadrick Dr
#B
Dalton, GA 30720
Phone (706) 226-3434

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

475 Reed Rd
Ste 104
Dalton, GA 30720
Phone (706) 529-8710

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

306 Shorter Ave NW
Rome, GA 30165
Phone (706) 509-3500

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

555 Sun Valley Dr
Ste M1
Roswell, GA 30076
Phone (404) 583-7333

Interoperability endpoints

  • Direct secure messaging: ashim.mehta@593111066869764.direct.elationemr.com
  • Direct secure messaging: ashim.mehta@841988105240580.direct.elationemr.com

Organizations & group practices 7

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 1

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1255770780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654268",
            "telephone_number": "706-509-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ASHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "077292",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "77292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.