Individual provider Active NPI

Nandita Mainthia, M.D.

  • Obstetrics & Gynecology Physician
  • Austell, GA
National Provider Identifier
1528036316
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34018 Issued in GA
Practice address
1810 Mulkey Rd
Suite 102
Austell, GA 30106
Phone
(770) 944-8660
Fax
(770) 944-8661
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34018 GA Primary

Addresses

Primary practice location

1810 Mulkey Rd
Suite 102
Austell, GA 30106

Mailing address

1810 Mulkey Rd
Suite 102
Austell, GA 30106
Phone (770) 944-8660

Other identifiers 1

IdentifierTypeStateIssuer
00468894BMedicaidGA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000439 GA Practitioner - Obstetrics/Gynecology 4981884178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Cobb Womens Health PAGroup PAC ID 5294811170, 2 clinicians

Practice addresses (Care Compare)

1810 Mulkey Rd
Austell, GA 30106-1132
Phone (770) 944-8660

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34018GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Women'S Health, P.a. Obstetrics & Gynecology CurrentSince Aug 1, 1992 Accepting new patients

Locations

1810 Mulkey Rd
Ste 102
Austell, GA 30106
Phone (770) 944-8660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBEAA/Endpoint/JEBEAA

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1528036316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 102",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-944-8660",
            "fax_number": "770-944-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 102",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-944-8660",
            "fax_number": "770-944-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINTHIA",
        "first_name": "NANDITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "34018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00468894B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.