Individual provider Active NPI

Amit Rohatgi, O.D.

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1467773879
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002567 Issued in GA
Practice address
400 Ernest W Barrett Pkwy NW
Suite# 151
Kennesaw, GA 30144-4917
Phone
(770) 423-0682
Fax
(770) 619-5211
NPI assigned
Jun 21, 2010
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002567 GA Primary

Addresses

Primary practice location

400 Ernest W Barrett Pkwy NW
Suite# 151
Kennesaw, GA 30144-4917

Mailing address

1275 Stonecroft Way
Marietta, GA 30062-4772
Phone (678) 520-9962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000950 GA Practitioner - Optometry 9032365903 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002567GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Doctors of Optometry LLC Optometrist CurrentSince May 10, 2023 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince May 10, 2023 Accepting new patients
Vision One Inc Optometrist CurrentSince Feb 5, 2013 Accepting new patients

Locations

1727 Mars Hill Rd NW
Acworth, GA 30101
Phone (770) 218-2426

1727 Mars Hill Rd NW
Ste 415
Acworth, GA 30101
Phone (770) 499-2005

50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1467773879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 STONECROFT WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624772",
            "telephone_number": "678-520-9962",
            "fax_number": "770-619-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ERNEST W BARRETT PKWY NW",
            "address_2": "SUITE# 151",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444917",
            "telephone_number": "770-423-0682",
            "fax_number": "770-619-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHATGI",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.