Individual provider Active NPI

Atul Khasnis, M.D.

  • Rheumatology Physician
  • Tyrone, GA
National Provider Identifier
1639292931
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
73311 Issued in GA
Practice address
145 Greencastle Rd
Tyrone, GA 30290-2937
Phone
(678) 889-7900
Fax
(770) 683-3349
NPI assigned
Apr 9, 2007
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 73311 GA Primary

Addresses

Primary practice location

145 Greencastle Rd
Tyrone, GA 30290-2937

Mailing address

145 Greencastle Rd
Tyrone, GA 30290-2937
Phone (678) 889-7900

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
I20150423001958 GA Practitioner - RheumatologyPractitioner - Internal Medicine 4385815661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Rheumatology Clinic, PCGroup PAC ID 1355878497, 2 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

145 Greencastle Rd
Tyrone, GA 30290-2937
Phone (678) 889-7900

40 Greenway CT
Newnan, GA 30265-2326
Phone (770) 502-0195

401 Dividend Dr
Peachtree City, GA 30269-1939
Phone (678) 506-1236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73311GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Rheumatology Clinic PC Rheumatology CurrentSince Sep 23, 2024 Accepting new patients
Florida Arthritis & Rheumatology Associates, LLC Rheumatology Past Accepting new patients

Locations

184B Jefferson Pkwy
Newnan, GA 30263
Phone (517) 648-3321

145 Greencastle Rd
Tyrone, GA 30290
Phone (678) 889-7900

145 Greencastle Rd
Ste 100
Tyrone, GA 30290

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1639292931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902937",
            "telephone_number": "678-889-7900",
            "fax_number": "770-683-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902937",
            "telephone_number": "678-889-7900",
            "fax_number": "770-683-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHASNIS",
        "first_name": "ATUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "73311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

Verify at the official NPI Registry.