Individual provider Active NPI

Kalyani Arun Pandya, PA-C

  • Surgical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1558742767
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
7671 Issued in GA
Practice address
975 Johnson Ferry Rd
Suite 100
Atlanta, GA 30342-1619
Phone
(404) 256-1311
Fax
(404) 250-3388
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7671 GA
Surgical Physician Assistant 363AS0400X 7671 GA Primary

Addresses

Primary practice location

975 Johnson Ferry Rd
Suite 100
Atlanta, GA 30342-1619

Mailing address

975 Johnson Ferry Rd Ste 100
Atlanta, GA 30342-1618
Phone (404) 256-1311

Other practice location 1

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605
Phone (404) 785-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001473 GA Practitioner - Physician Assistant 5496051088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7671GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC CurrentSince Dec 18, 2025 Accepting new patients
Choa Multispecialty, LLC Past Accepting new patients

Locations

2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1558742767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421618",
            "telephone_number": "404-256-1311",
            "fax_number": "404-250-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421619",
            "telephone_number": "404-256-1311",
            "fax_number": "404-250-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 JOHNSON FERRY RD",
            "address_purpose": "LOCATION",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421605",
            "country_code": "US",
            "telephone_number": "404-785-2273",
            "fax_number": "404-785-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "KALYANI",
        "middle_name": "ARUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7671",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "7671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "975 Johnson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.