Individual provider Active NPI

Dhruti Contractor, MD

  • Orthopaedic Surgery Physician
  • Grovetown, GA
National Provider Identifier
1578853115
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
65952 Issued in GA
Practice address
290 High Meadows Cir
Grovetown, GA 30813-8100
Phone
(706) 787-1859
NPI assigned
Apr 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 65952 GA Primary

Addresses

Primary practice location

290 High Meadows Cir
Grovetown, GA 30813-8100

Mailing address

290 High Meadows Cir
Grovetown, GA 30813-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Permanente Medical Group

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
I20211123001719 GA Practitioner - Orthopedic Surgery 9133444177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
George Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dkumar LLCGroup PAC ID 4587706072, 6 clinicians

Practice addresses (Care Compare)

3968 Felton Hill Rd SW
Suite 100
Smyrna, GA 30082-3522
Phone 7703337888105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65952GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dkumar LLC CurrentSince Jan 1, 2023 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Oct 18, 2021 Accepting new patients
Ahs Anesthesia LLC PastSince Jan 26, 2015 Accepting new patients
Carpus Surgery Center LLC PastSince Nov 5, 2016 Accepting new patients
Ulna Surgery Center LLC PastSince Apr 3, 2017 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

201 Kimberly Way
Ste 102
Canton, GA 30114
Phone (678) 214-6960

6025 Professional Pkwy
Ste 102
Douglasville, GA 30134
Phone (770) 489-5000

10730 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

600 Professional Dr
Ste 100
Lawrenceville, GA 30046
Phone (678) 214-6960

792 Church St NE
Ste 104
Marietta, GA 30060
Phone (678) 214-6960

3775 Roswell Rd
Ste 250
Marietta, GA 30062
Phone (678) 214-6960

6115 Peachtree Dunwoody Rd
Ste 210
Sandy Springs, GA 30328
Phone (678) 214-6960

6115 Peachtree Dunwoody Rd
Ste 230
Sandy Springs, GA 30328

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3903 S Cobb Dr SE
Ste 200
Smyrna, GA 30080
Phone (770) 435-3214

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

Interoperability endpoints

  • Direct secure messaging: contractor.dhruti.006.0100027@ahs.meditab.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1578853115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HIGH MEADOWS CIR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HIGH MEADOWS CIR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138100",
            "telephone_number": "706-787-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRACTOR",
        "first_name": "DHRUTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "65952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2400 Mount Zion Pkwy",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.