Individual provider Active NPI

Anand Pravin Mehta, MD

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1629365283
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71759 Issued in GA
Practice address
3535 Roswell Rd Ste 15
Marietta, GA 30062-6252
Phone
(770) 274-4435
Fax
(470) 300-8895
NPI assigned
Jul 5, 2011
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08963000 NJ
Family Medicine Physician 207Q00000X 71759 GA Primary

Addresses

Primary practice location

3535 Roswell Rd Ste 15
Marietta, GA 30062-6252

Mailing address

3535 Roswell Rd Ste 15
Marietta, GA 30062-6252
Phone (770) 274-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2020 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71759GAMDFamily Medicine Physician
25MA08963000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amehta123309@directwellstar.org
  • Direct secure messaging: anand.mehta.p186@direct.tenet.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1629365283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 15",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626252",
            "telephone_number": "770-274-4435",
            "fax_number": "470-300-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 15",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626252",
            "telephone_number": "770-274-4435",
            "fax_number": "470-300-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ANAND",
        "middle_name": "PRAVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08963000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "71759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.