Organization Active NPI

Alzhacare LLC

  • Neurology Physician
  • Kennesaw, GA
National Provider Identifier
1487074647
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
045997 Issued in GA
Legal business name
ALZHACARE LLC
Practice address
3229 Harmony Hill Trce
Kennesaw, GA 30144-0103
Phone
(706) 290-1967
NPI assigned
Apr 25, 2014
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Smita Varshney, M.D.NPI 1871658906
Title
Physician/Owner
Phone
(706) 290-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 045997 GA Primary

Addresses

Primary practice location

3229 Harmony Hill Trce
Kennesaw, GA 30144-0103

Mailing address

3229 Harmony Hill Trce
Kennesaw, GA 30144-0103
Phone (706) 290-1967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140707001225 GA Part B Supplier - Clinic/Group Practice 5890910855 Receives reassigned benefits from 1 practitioner
Practice locations: Kennesaw, GA; Rome, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1487074647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 HARMONY HILL TRCE",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301440103",
            "telephone_number": "706-290-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 HARMONY HILL TRCE",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301440103",
            "telephone_number": "706-290-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "VARSHNEY",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "706-290-1967",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "045997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.