Individual provider Active NPI

Neha A Khurana, MD

  • Psychiatry Physician
  • Berkeley Lake, GA
National Provider Identifier
1659694404
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
63876 Issued in GA
Practice address
4720 Peachtree Industrial Blvd Ste 4101
Berkeley Lake, GA 30071-5737
Phone
(678) 861-6463
Fax
(770) 659-7199
NPI assigned
Mar 9, 2010
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63876 GA Primary

Addresses

Primary practice location

4720 Peachtree Industrial Blvd Ste 4101
Berkeley Lake, GA 30071-5737

Mailing address

4220 Falls Ridge Dr
Alpharetta, GA 30022-8489
Phone (678) 558-5717

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
I20171110002230 GA Practitioner - Psychiatry 7719003094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4720 Peachtree Industrial Blvd
Suite 4101
Berkeley Lake, GA 30071-5737
Phone (678) 861-6463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Behavioral Health LLC CurrentSince Sep 19, 2017 Accepting new patients

Locations

4720 Peachtree Industrial Blvd
Ste 4101
Berkeley Lake, GA 30071
Phone (678) 861-6463

3965 Holcomb Bridge Rd
Ste 102
Norcross, GA 30092
Phone (678) 861-6463

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1659694404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 FALLS RIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228489",
            "telephone_number": "678-558-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD STE 4101",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715737",
            "telephone_number": "678-861-6463",
            "fax_number": "770-659-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "NEHA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "63876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Lake, GA

Sources for this page

Verify at the official NPI Registry.