Individual provider Active NPI

Manan Rajendra Bhatt, M.D.

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1407381445
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85024 Issued in GA
Practice address
1311 Johnson Ferry Rd Ste 604
Marietta, GA 30068-2947
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 27, 2017
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85024 GA Primary

Addresses

Primary practice location

1311 Johnson Ferry Rd Ste 604
Marietta, GA 30068-2947

Mailing address

1311 Johnson Ferry Rd Ste 604
Marietta, GA 30068-2947
Phone (888) 663-6331

Other practice location 1

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone (202) 627-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC2 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
I20210408002495 GA Practitioner - Family Practice 3274800693 Reassigns benefits to 1 organization
I20230919002717 DC Practitioner - Family Practice 3274800693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Physicians Group, LLCGroup PAC ID 6709294804, 13 clinicians

Practice addresses (Care Compare)

950 Battery Ave SE
Suite 1216
Atlanta, GA 30339-3094
Phone (404) 504-6554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85024GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physicians Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Dialysis Access Center of Atlanta Past Accepting new patients

Locations

950 Battery Ave SE
Ste 1216
Atlanta, GA 30339
Phone (404) 504-6554

1311 Johnson Ferry Rd
Marietta, GA 30068
Phone (770) 977-4139

1311 Johnson Ferry Rd
Ste 604
Marietta, GA 30068

Organizations & group practices 3

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1407381445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 JOHNSON FERRY RD STE 604",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682947",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 JOHNSON FERRY RD STE 604",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682947",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Connecticut Ave NW Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361728",
            "country_code": "US",
            "telephone_number": "202-627-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATT",
        "first_name": "MANAN",
        "middle_name": "RAJENDRA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "85024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.