Active NPI
Anushka Amin, D.M.D
- General Practice Dentistry
- Conyers, GA
National Provider Identifier
1487093464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014608
- Practice address
- 1115 Hardin St SW
Conyers, GA 30012-5311 - Phone
- (770) 922-0511
- NPI assigned
- Jun 23, 2013
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014608 | GA | Primary |
Addresses
Primary practice location
1115 Hardin St SW
Conyers, GA 30012-5311
Mailing address
1115 Hardin St SW
Conyers, GA 30012-5311
Phone (770) 922-0511
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161021002172 | GA | Order and Referring Only - Other (Non-Physician) | 5092093203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Amin PC | Current | Accepting new patients |
Locations
1096 West Ave SW
#A
Conyers, GA 30012
Organizations & group practices 1
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": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1487093464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 HARDIN ST SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125311",
"telephone_number": "770-922-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 HARDIN ST SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125311",
"telephone_number": "770-922-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "ANUSHKA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-23",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
- Kimberly Amedee
- Amedisys Georgia, L.L.C. (Central Home Health Care an Amedisys Company)
- Aisha N Ameen
- American Current Care PA (Concentra Urgent Care)
- American Current Care PA (Concentra Urgent Care)
- Kaushik Amin, MD
- Ramesh Amin, MD
- Amber N Ammons, MT
- Amscan Radiology Associates, LLC
- Analia Home Health Care Services, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.