Individual provider Active NPI

Shailesh S Kothari, D.C.

  • Chiropractor
  • Hapeville, GA
National Provider Identifier
1346489200
Registry record updated Aug 1, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Feb 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO08446 Issued in GA
Practice address
800 Virginia Ave
Suite 200
Hapeville, GA 30354-4302
Phone
(770) 938-2625
Fax
(404) 549-3393
NPI assigned
Feb 16, 2009
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO08446 GA Primary

Addresses

Primary practice location

800 Virginia Ave
Suite 200
Hapeville, GA 30354-4302

Mailing address

1938 Cobblestone Cir NE
Atlanta, GA 30319-4905
Phone (770) 938-2625

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CHIRO08446GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Medical Centers PastSince Jan 1, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1346489200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 COBBLESTONE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194905",
            "telephone_number": "770-938-2625",
            "fax_number": "404-477-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "SUITE 200",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303544302",
            "telephone_number": "770-938-2625",
            "fax_number": "404-549-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "SHAILESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hapeville, GA

Sources for this page

Verify at the official NPI Registry.