NPIMap

Individual provider Active NPI

Nonna R Livits, MD

  • Family Medicine Physician
  • Canton, GA
National Provider Identifier
1457747313
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81545 Issued in GA
Practice address
320 Hospital Rd
Canton, GA 30114-2410
Phone
(770) 479-5535
Fax
(770) 720-3294
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 81545 GA Primary

Addresses

Primary practice location

320 Hospital Rd
Canton, GA 30114-2410

Mailing address

320 Hospital Rd
Canton, GA 30114-2410
Phone (770) 479-5535

Other names 1

  • Dr. Nonna R Ilyabayeva Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115001654 GA Practitioner - Family Practice 4880901719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates Professional Services, LLCGroup PAC ID 1355578485, 23 clinicians

Practice addresses (Care Compare)

320 Hospital Rd
Canton, GA 30114-2432
Phone (770) 479-5535

Hospital & facility affiliations

  • Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
70.82
Promoting interoperability
78
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81545GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Professional Services, LLC Family Medicine CurrentSince Oct 11, 2018 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine Past Accepting new patients

Locations

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

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.

Hospital & facility affiliations 7

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1457747313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142410",
            "telephone_number": "770-479-5535",
            "fax_number": "770-720-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142410",
            "telephone_number": "770-479-5535",
            "fax_number": "770-720-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVITS",
        "first_name": "NONNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "81545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONNA",
            "last_name": "ILYABAYEVA",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.