Individual provider Active NPI

Arvind Chandilya Chakravarthy, M.D.

  • Emergency Medicine Physician
  • Buford, GA
National Provider Identifier
1578883294
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
68991 Issued in GA
Practice address
3725 Hamilton Mill Rd
Buford, GA 30519-3909
Phone
(810) 814-0963
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME149502 FL
Emergency Medicine Physician 207P00000X C261071115280 MI
Emergency Medicine Physician 207P00000X 68991 GA Primary

Addresses

Primary practice location

3725 Hamilton Mill Rd
Buford, GA 30519-3909

Mailing address

3725 Hamilton Mill Rd
Buford, GA 30519-3909
Phone (810) 814-0963

Other practice location 1

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Other practice location 2

3744 Hatchery Way
Bradenton, FL 34211-1392
Phone (404) 512-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AZ, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20130605000228 GA Practitioner - Emergency Medicine 6507004496 Reassigns benefits to 7 organizations
I20210824000039 FL Practitioner - Emergency Medicine 6507004496 Reassigns benefits to 1 organization
I20220113001977 AZ Practitioner - Emergency Medicine 6507004496 Reassigns benefits to 1 organization
I20240918001444 TX Practitioner - Emergency Medicine 6507004496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spirit Care of Texas PCGroup PAC ID 6800338161, 7 clinicians

Practice addresses (Care Compare)

14110 Dallas Pkwy
Suite 170
Dallas, TX 75254-1367
Phone (877) 418-2466

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68991GAMDEmergency Medicine Physician
C261071115280MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Feb 5, 2024 Accepting new patients
Spirit Care of Texas PC CurrentSince Apr 1, 2024 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC Emergency Medicine CurrentSince Oct 25, 2024 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 15, 2014 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Jan 24, 2021 Accepting new patients
Strategic Georgia Medical LLC Current Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Oct 25, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Drexel University College of Medicine Past Accepting new patients

Locations

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

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

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

3957 Holcomb Bridge Rd
Ste 202
Peachtree Corners, GA 30092
Phone (404) 551-4205

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

14110 Dallas Pkwy
Ste 170
Dallas, TX 75254
Phone (214) 941-9522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spirit Hospice of GeorgiaMarietta, GA, CCN 851592 Hospice Contracted Managing Employee (37%)
5% Or Greater Direct Ownership Interest (37%)
Corporate Director (37%)
W-2 Managing Employee (37%)
Oct 1, 2023
Oct 1, 2023
Oct 1, 2023
Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1578883294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 HAMILTON MILL RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193909",
            "telephone_number": "810-814-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 HAMILTON MILL RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193909",
            "telephone_number": "810-814-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "770-918-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3744 Hatchery Way",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342111392",
            "country_code": "US",
            "telephone_number": "404-512-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRAVARTHY",
        "first_name": "ARVIND",
        "middle_name": "CHANDILYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME149502",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "C261071115280",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "68991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.