Individual provider Active NPI

Dhaval V Adhvaryu, MD

  • Surgery Physician
  • Austell, GA
National Provider Identifier
1528070067
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
102672 Issued in GA
Practice address
3950 Austell Rd
Austell, GA 30106-1121
Phone
(706) 863-9595
Fax
(706) 868-8385
NPI assigned
Aug 13, 2006
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD15173R LA
Surgery Physician 208600000X 102672 GA Primary

Addresses

Primary practice location

3950 Austell Rd
Austell, GA 30106-1121

Mailing address

PO Box 3726
Augusta, GA 30914-3726
Phone (706) 863-9595

Other practice location 1

4441 Atlanta Rd SE Ste 113
Smyrna, GA 30080-6431
Phone (706) 863-9595

Other practice location 2

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 863-9595

Other practice location 3

3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Phone (706) 863-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031124000057 LA Practitioner - General Surgery 9436053212 Reassigns benefits to 1 organization
I20250211000500 GA Practitioner - General Surgery 9436053212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
East Tennessee State University Quillen College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph M Still Burn Centers, IncGroup PAC ID 7618963638, 47 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (706) 863-9595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue36
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15173RLAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Surgery CurrentSince Apr 1, 2008 Accepting new patients
Joseph M Still Burn Centers, Inc CurrentSince Jan 1, 2025 Accepting new patients
Advanced Videoscopic Surgery of Baton Rouge Surgery Past Accepting new patients
Cobb Hospital, Inc Past Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3675 J Dewey Gray Cir
Ste 300
Augusta, GA 30909
Phone (706) 869-0501

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

4441 Atlanta Rd SE
Ste 113
Smyrna, GA 30080
Phone (470) 956-0400

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8595 Picardy Ave
Ste 235
Baton Rouge, LA 70809
Phone (225) 763-4629

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1528070067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3726",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143726",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Atlanta Rd SE Ste 113",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806431",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3651 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096521",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 J Dewey Gray Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091868",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADHVARYU",
        "first_name": "DHAVAL",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD15173R",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "102672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.