Individual provider Active NPI

Nidhi S De, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1578889143
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
82849 Issued in GA
Practice address
275 Collier Rd NW Ste 100B
Atlanta, GA 30309-1700
Phone
(404) 352-3656
Fax
(404) 350-5820
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 82849 GA Primary

Addresses

Primary practice location

275 Collier Rd NW Ste 100B
Atlanta, GA 30309-1700

Mailing address

275 Collier Rd NW Ste 100B
Atlanta, GA 30309-1700
Phone (678) 485-0429

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
I20191230002270 GA Practitioner - Obstetrics/Gynecology 3779801345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

4028 Holcomb Bridge Rd
Suite 200
Peachtree Corners, GA 30092-4600
Phone (678) 580-1736

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82849GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women'S Heathcare Specialists, LLC Single Specialty CurrentSince Jan 6, 2020 Accepting new patients
Northside Surgical Professional Services LLC Single Specialty CurrentSince Apr 17, 2023 Accepting new patients
Atlanta Women'S Healthcare Specialists 3 LLC Single Specialty PastSince Jan 6, 2020 Accepting new patients

Locations

275 Collier Rd NW
Ste 100B
Atlanta, GA 30309
Phone (404) 352-1235

4028 Holcomb Bridge Rd
Ste 202
Peachtree Corners, GA 30092
Phone (770) 209-9826

4028 Holcomb Bridge Rd
Ste 200
Peachtree Corners, GA 30092
Phone (678) 580-1736

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: drde@fapwcog-ga.direct.office.nextgen.com
  • Direct secure messaging: nidhi.shah@hcc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1578889143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 100B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091700",
            "telephone_number": "678-485-0429",
            "fax_number": "404-350-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 100B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091700",
            "telephone_number": "404-352-3656",
            "fax_number": "404-350-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE",
        "first_name": "NIDHI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "82849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.