Mansi Khichi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7585 Issued in GA

Practice address

11685 Alpharetta Hwy Ste 120
Roswell, GA 30076-4910

Phone

(770) 284-3150

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAADCA
• Direct secure messaging: mansi.zaverikhichi@arcpc.eclinicaldirectplus.com

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.

• Arthritis & Rheumatology Center PC

  • Medical Specialty Clinic/Center
  • Roswell, GA
  • NPI 1467895359
  Medicare reassignment NPD

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1588046197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PAWNEE AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY STE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764910",
            "telephone_number": "770-284-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHICHI",
        "first_name": "MANSI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamina Kess, LMT
• D'Anna Marie Kester, MSW
• Alexis Key, RBT
• Vida Khalili, D.C.
• Sadaf Khan, RN
• Sunny Singh Khichi, M.D.
• Anum Khurshid
• Kevin Khuu, RBT
• Nooshin Kiani Nia, MD
• Lindy A Kidd

• Medical Physician Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.

Verify at the official NPI Registry.