Individual provider Active NPI

Bipinchandra Hirisave Krishna, M.D.

  • Psychiatry Physician
  • Suwanee, GA
National Provider Identifier
1386854651
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
53713 Issued in MN
Practice address
1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299
Phone
(678) 263-3080
Fax
(678) 496-9863
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301088072 MI
Child & Adolescent Psychiatry Physician 2084P0804X 53713 MN
Psychiatry Physician 2084P0800X 53713 MN Primary

Addresses

Primary practice location

1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299

Mailing address

1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299
Phone (678) 263-3080

Other practice location 1

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120123000745 MN Practitioner - Psychiatry 6608043203 Reassigns benefits to 1 organization
I20231229000856 GA Practitioner - Psychiatry 6608043203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Professionals of Georgia, LLCGroup PAC ID 2567731482, 28 clinicians

Practice addresses (Care Compare)

1325 Satellite Blvd NW
Suite 400
Suwanee, GA 30024-5299
Phone (678) 263-3080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088072MIMDPsychiatry Physician
53713MNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professionals of Georgia, LLC Psychiatry CurrentSince Nov 19, 2023 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Dec 15, 2012 Accepting new patients

Locations

286 S Main St
Ste 100
Alpharetta, GA 30009
Phone (248) 660-0487

17 Executive Park Dr NE
Ste 450
Atlanta, GA 30329
Phone (404) 470-4333

3825 Medical Park Dr
Ste 102
Austell, GA 30106
Phone (678) 439-0003

1810 Peachtree Industrial Blvd
Ste 204
Duluth, GA 30097
Phone (770) 513-7666

227 Scenic Hwy
Ste A
Lawrenceville, GA 30046
Phone (770) 462-5722

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

Interoperability endpoints

  • Direct secure messaging: bipinchandra.krishna.1@25899.direct.athenahealth.com
  • Direct secure messaging: bhirisavekrishna90234@ehrdirect.mayoclinicmsg.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1386854651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245299",
            "telephone_number": "678-263-3080",
            "fax_number": "678-496-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245299",
            "telephone_number": "678-263-3080",
            "fax_number": "678-496-9863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Marsh St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014752",
            "country_code": "US",
            "telephone_number": "507-625-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRISAVE KRISHNA",
        "first_name": "BIPINCHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301088072",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "53713",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "53713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.