Dhaval V Adhvaryu, MD
Individual provider Active NPI Surgery Physician · Austell, GA
NPI 1528070067 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1528070067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 102672 (GA)
- Practice address
- 3950 Austell Rd
Austell, GA 30106-1121 - Phone
- (706) 863-9595
- Fax
- (706) 868-8385
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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, Inc
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (706) 863-9595
Hospital & facility affiliations
- Wellstar Home Health, LLC
- Wellstar Cobb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.3 of 100
- Quality
- 57.21
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 36 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031124000057 | LA | Practitioner - General Surgery | 9436053212 | Reassigns benefits to 1 organization |
| I20250211000500 | GA | Practitioner - General Surgery | 9436053212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15173R | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge General Medical Center | Surgery | Current |
Accepting new patients |
| Joseph M Still Burn Centers, Inc | Current |
Accepting new patients | |
| Baton Rouge General Medical Center | Past | Accepting new patients | |
| Advanced Videoscopic Surgery of Baton Rouge | Surgery | Past | Accepting new patients |
| Cobb Hospital, Inc | Past | Accepting new patients |
Locations
3675 J Dewey Gray Cir
Ste 300
Augusta, GA 30909
Phone (706) 869-0501
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD15173R | LA | |
| Surgery Physician | 208600000X | 102672 | GA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1161314 | Medicaid | LA | |
| 003319739A | Medicaid | GA |
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.