Active NPI
Pratibha Sonam Vashista, D.O.
- Family Medicine Physician
- Anniston, AL
National Provider Identifier
1528594124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO.2317
- Practice address
- 1325 Quintard Ave
Anniston, AL 36201-4619 - Phone
- (256) 741-1339
- NPI assigned
- May 3, 2017
- Last updated
- Mar 4, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 103009 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | ||
| Family Medicine Physician | 207Q00000X | DO.2317 | AL | Primary |
Addresses
Primary practice location
1325 Quintard Ave
Anniston, AL 36201-4619
Mailing address
1325 Quintard Ave
Anniston, AL 36201-4619
Phone (256) 741-1339
Other practice location 1
470 Northside Cherokee Blvd Ste 380
Canton, GA 30115-8031
Phone (770) 721-9250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
470 Northside Cherokee Blvd
Suite 380
Canton, GA 30115-8031
Phone (770) 721-9250
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates Professional Services, LLC | Family Medicine | Current | Accepting new patients |
| Cheaha Area Regional Emergency Services of Oxford | Past | Accepting new patients |
Locations
470 Northside Cherokee Blvd
Ste 380
Canton, GA 30115
Phone (770) 721-9250
1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Interoperability endpoints
- pratibha.vashista@cares.directbygreenway.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Canton, GA
- NPI 1083041867
Family Medicine
-
- Basic Emergency Medical Technician
- Oxford, AL
- NPI 1790964104
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1528594124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 QUINTARD AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014619",
"telephone_number": "256-741-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 QUINTARD AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014619",
"telephone_number": "256-741-1339"
}
],
"practiceLocations": [
{
"address_1": "470 Northside Cherokee Blvd Ste 380",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301158031",
"country_code": "US",
"telephone_number": "770-721-9250",
"fax_number": "770-721-9251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASHISTA",
"first_name": "PRATIBHA",
"middle_name": "SONAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "103009",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO.2317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.