Individual provider Active NPI

Vivek Krishna, M.D.

  • Neurology Physician
  • Gainesville, GA
National Provider Identifier
1295920320
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
93634 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-9000
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101276750 VA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 75213 TN
Clinical Neurophysiology Physician 2084N0600X 158833 CA
Neurology Physician 2084N0400X P1777 TX
Neurology Physician 2084N0400X 35.097878 OH
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 912984 CA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 86829 SC
Neurology Physician 2084N0400X 01085541A IN
Neurology Physician 2084N0400X 912984 CA
Neurology Physician 2084N0400X MD206656 OR
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 0101276750 VA
Neurology Physician 2084N0400X 93634 GA Primary
Neurology Physician 2084N0400X 42815 AZ

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

230 Associates Blvd
Alcoa, TN 37701-1943
Phone (865) 273-1555

Other practice location 2

2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Phone (540) 689-5400

Other practice location 3

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Other practice location 4

200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Phone (864) 454-4500

Other practice location 5

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-5760

Other practice location 6

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1000

Other practice location 7

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

Other practice location 8

2800 N Vancouver Ave Ste 130
Portland, OR 97227-1663
Phone (503) 413-6166

Other identifiers 2

IdentifierTypeStateIssuer
Q116678MedicaidTN
912984OtherCABOARD CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkrishna154672@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, CA, SC, GA, WA, OR, VA, FL9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20120410000618 TX Practitioner - Neurology 7719148238 Reassigns benefits to 1 organization
I20131022002109 OH Practitioner - Neurology 7719148238 Reassigns benefits to 1 organization
I20210317000959 CA Practitioner - Neurology 7719148238 Reassigns benefits to 1 organization
I20211206001355 SC Practitioner - Neurology 7719148238 Reassigns benefits to 1 organization
I20221103002644 GA Practitioner - Neurology 7719148238 Reassigns benefits to 4 organizations
I20230202001558 WA Practitioner - Neurology 7719148238 Reassigns benefits to 2 organizations
I20230202001641 OR Practitioner - Neurology 7719148238 Reassigns benefits to 2 organizations
I20240306003665 VA Practitioner - Neurology 7719148238 Reassigns benefits to 1 organization
I20240604000422 FL Practitioner - Neurology 7719148238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-8842

1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 296-5137

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455

701 Grove Rd
Greenville, SC 29605-4210

807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261

815 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261

817 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9790

830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
  • Kaiser Sunnyside Medical Center Hospital, Clackamas, OR, CCN 380091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
912984CAMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
01085541AINMDNeurology Physician
MD206656ORMDNeurology Physician
P1777TXMDNeurology Physician
158833CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Apr 23, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 3, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 23, 2024 Accepting new patients
Partners Physician Group CurrentSince Mar 26, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Jan 28, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 20, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 23, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Dec 25, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 15, 2021 Accepting new patients
RMH Medical Group LLC CurrentSince Dec 25, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 30, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Jul 20, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 20, 2021 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jan 12, 2026 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 23, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 30, 2024 Accepting new patients
Partners Physician Group CurrentSince Mar 26, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc Neurology CurrentSince Oct 26, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 3, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 15, 2021 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jan 12, 2026 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jan 12, 2026 Accepting new patients
Lee Memorial Health System CurrentSince Jul 20, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 3, 2023 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Sutter East Bay Medical Foundation Neurology Past Accepting new patients

Locations (25 of 54)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

1100 Van Ness Ave
Fl 6
San Francisco, CA 94109
Phone (415) 600-3458

601 Duboce Ave
Ste 165
San Francisco, CA 94117

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

34 Mark West Springs Rd
Fl 3
Santa Rosa, CA 95403
Phone (707) 573-5200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

12600 Creekside Ln
Ste 2
Fort Myers, FL 33919
Phone (239) 343-9235

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

Interoperability endpoints

  • Direct secure messaging: vkrishna740133@direct.unc.nchie.net
  • Direct secure messaging: vkrishna536353@direct.ghs.myhfn.org
  • Direct secure messaging: vkrishna154672@nghs.gadirect.net

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1295920320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Associates Blvd",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377011943",
            "country_code": "US",
            "telephone_number": "865-273-1555",
            "fax_number": "865-273-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Health Campus Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Patewood Dr Ste B350",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156337",
            "country_code": "US",
            "telephone_number": "864-454-4500",
            "fax_number": "864-454-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096978",
            "country_code": "US",
            "telephone_number": "415-600-5760",
            "fax_number": "415-369-1208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78705",
            "country_code": "US",
            "telephone_number": "512-324-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Joule St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012422",
            "country_code": "US",
            "telephone_number": "865-984-3864",
            "fax_number": "865-380-4095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 N Vancouver Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271663",
            "country_code": "US",
            "telephone_number": "503-413-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "VIVEK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101276750",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TN",
            "license": "75213",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "158833",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P1777",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.097878",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "912984",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "SC",
            "license": "86829",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01085541A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "912984",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD206656",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "VA",
            "license": "0101276750",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "93634",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "42815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q116678",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "912984",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkrishna154672@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.