Individual provider Active NPI

Abha Soni, D.O.

  • Dermatopathology Physician
  • Smyrna, GA
National Provider Identifier
1689019184
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
83397 Issued in GA
Practice address
2000 Lake Park Dr SE
Smyrna, GA 30080-7611
Phone
(678) 556-9411
Fax
(678) 556-9413
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 83397 GA
Dermatopathology Physician 207ND0900X 83397 GA Primary

Addresses

Primary practice location

2000 Lake Park Dr SE
Smyrna, GA 30080-7611

Mailing address

1400 W Peachtree St NW
Atlanta, GA 30309-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210830001645 CA Practitioner - PathologyPractitioner - Other (Physician) 0547400178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
72.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18885CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Podpath, Inc CurrentSince Sep 29, 2019 Accepting new patients
Contra Costa Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
Contra Costa Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
Contra Costa Pathology Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

399 Taylor Blvd
Ste 200
Pleasant Hill, CA 94523
Phone (925) 270-3575

2000 Lake Park Dr SE
Smyrna, GA 30080
Phone (678) 556-9411

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1689019184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807611",
            "telephone_number": "678-556-9411",
            "fax_number": "678-556-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "ABHA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "83397",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "83397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.