Active NPI
Shailesh S Kothari, D.C.
- Chiropractor
- Hapeville, GA
National Provider Identifier
1346489200
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.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO08446
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08446 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Medical Centers | Past | 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.
-
- Internal Medicine Physician
- Hapeville, GA
- NPI 1073844205
-
- Urgent Care Clinic/Center
- Hapeville, GA
- NPI 1609119882
-
dba Gainesville Medical Centers of Georgia
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1124432471
-
- Internal Medicine Physician
- New Port Richey, FL
- NPI 1629345681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.