Active NPI
Dvir Associates, Inc
Doing business as Minimally Invasive Center of Atlanta
- Vascular & Interventional Radiology Physician
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 066391
- Legal business name
- DVIR ASSOCIATES, INC
- Doing business as
- Minimally Invasive Center of Atlanta
- Practice address
- 3840 Peachtree Industrial Blvd Ste 275
Duluth, GA 30096 - Phone
- (404) 977-1238
- Fax
- (404) 600-1178
- NPI assigned
- Dec 1, 2014
- Last updated
- May 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neel Anilkumar Patel, MD
- Title
- President
- Phone
- (770) 608-3728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 066391 | GA | Primary |
Addresses
Primary practice location
3840 Peachtree Industrial Blvd Ste 275
Duluth, GA 30096
Mailing address
2637 Kinnett CT SW
Lilburn, GA 30047-5739
Phone (770) 608-3728
Other practice location 1
2855 Candler Rd Ste 10
Decatur, GA 30034-1415
Phone (404) 977-1238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003119505E | Medicaid | GA |
Other names 1
- Minimally Invasive Center of Atlanta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5040 Snapfinger Woods Dr
Ste 206
Decatur, GA 30035
Phone (404) 975-4684
6485 Peachtree Industrial Blvd
Doraville, GA 30360
Phone (404) 977-1238
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular & Interventional Radiology Physician
- Duluth, GA
- NPI 1174837231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526428800000",
"number": "1639576069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 KINNETT CT SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475739",
"telephone_number": "770-608-3728",
"fax_number": "404-600-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 275",
"city": "DULUTH",
"state": "GA",
"postal_code": "30096",
"telephone_number": "404-977-1238",
"fax_number": "404-600-1178"
}
],
"practiceLocations": [
{
"address_1": "2855 Candler Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300341415",
"country_code": "US",
"telephone_number": "404-977-1238",
"fax_number": "404-600-1178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DVIR ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-01",
"last_updated": "2018-05-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NEEL",
"authorized_official_middle_name": "ANILKUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-608-3728",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "066391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003119505E",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Minimally Invasive Center of Atlanta",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Minimally Invasive Center of Atlanta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.