Individual provider Active NPI

Sonal Rameshchandra Hazariwala, MD

  • Neurology Physician
  • Fayetteville, GA
National Provider Identifier
1457579492
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
054151 Issued in GA
Practice address
1265 Highway 54 W Ste 500D
Fayetteville, GA 30214-4537
Phone
(770) 506-5410
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD70011104 WA
Neurology Physician 2084N0400X 054151 GA Primary
Neurology Physician 2084N0400X 27547 NV
Neurology Physician 2084N0400X MD227851 OR
Neurology Physician 2084N0400X 0101288232 VA
Neurology Physician 2084N0400X 76360 TN
Neurology Physician 2084N0400X 2025-03420 NC
Clinical Neurophysiology Physician 2084N0600X 0101288232 VA
Clinical Neurophysiology Physician 2084N0600X 76360 TN

Addresses

Primary practice location

1265 Highway 54 W Ste 500D
Fayetteville, GA 30214-4537

Mailing address

3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1717
Phone (404) 364-7070

Other practice location 1

1901 S Shady St Ste 1
Mountain City, TN 37683-2021
Phone (423) 727-1103

Other practice location 2

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-3733

Other practice location 3

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 4

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 5

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 6

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 7

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone (503) 692-1212

Other practice location 8

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 9

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone (770) 787-8200

Other practice location 10

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 11

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 12

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 13

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 14

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 15

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 546-5212

Other practice location 16

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 17

58 Carroll St
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 18

100 15ht St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, OR, NC, WI, VA, TN7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20071019000369 GA Practitioner - NeurologyPractitioner - Nephrology 0244326379 Reassigns benefits to 3 organizations
I20251128000366 WA Practitioner - Neurology 0244326379 Reassigns benefits to 1 organization
I20251128000411 OR Practitioner - Neurology 0244326379 Reassigns benefits to 1 organization
I20251222003001 NC Practitioner - Neurology 0244326379 Reassigns benefits to 1 organization
I20260127001905 WI Practitioner - Neurology 0244326379 Reassigns benefits to 2 organizations
I20260415001354 VA Practitioner - Neurology 0244326379 Reassigns benefits to 1 organization
I20260424002236 TN Practitioner - Neurology 0244326379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Fayetteville, GA 30214-4548
Phone (770) 719-7000

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054151GAMDNeurology Physician
2025-03420NCMDNeurology Physician
MD227851ORMDNeurology Physician
76360TNMDNeurology Physician
0101288232VAMDNeurology Physician
MD70011104WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 27, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 27, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2026 Accepting new patients
Piedmont Providers LLC CurrentSince Aug 20, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 10, 2026 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Piedmont Newton Hospital, Inc. Current Accepting new patients
The Southeast Permanente Medical Group CurrentSince Jan 2, 2017 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 5, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 5, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 5, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 5, 2025 Accepting new patients
Barry J McCasland MD PC PastSince Nov 19, 2023 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

5211 Highway 278 NE
Covington, GA 30014
Phone (770) 787-7444

1265 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-7000

1265 Highway 54 W
Ste 500D
Fayetteville, GA 30214
Phone (678) 613-5554

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: sonal.hazariwala.1@19873.direct.athenahealth.com
  • Direct secure messaging: sonal.hazariwala@newtonmedical.gadirect.net
  • Direct secure messaging: sonal.hazariwala@gadirect.net

Organizations & group practices 19

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 19

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1457579492",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717",
            "telephone_number": "404-364-7070",
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            "postal_code": "302144537",
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        }
    ],
    "practiceLocations": [
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            "address_1": "1901 S Shady St Ste 1",
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            "address_1": "16000 Johnston Memorial Dr",
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            "country_name": "United States",
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            "state": "TN",
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            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "19300 SW 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627706",
            "country_code": "US",
            "telephone_number": "503-692-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
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            "address_1": "2400 Mount Zion Pkwy",
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            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302362500",
            "country_code": "US",
            "telephone_number": "770-787-8200",
            "fax_number": "770-787-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
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            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
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            "telephone_number": "276-546-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15ht St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZARIWALA",
        "first_name": "SONAL",
        "middle_name": "RAMESHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD70011104",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "054151",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "27547",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD227851",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101288232",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "76360",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-03420",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": "0101288232",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TN",
            "license": "76360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2400 Mount Zion Pkwy",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.