Active NPI
Abha Soni, D.O.
- Dermatopathology Physician
- Smyrna, GA
National Provider Identifier
1689019184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 83397
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 72.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18885 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podpath, Inc | Current | Accepting new patients | |
| Contra Costa Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Contra Costa Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Walnut Creek, CA
- NPI 1437211646
-
- Dermatopathology (Pathology) Physician
- Smyrna, GA
- NPI 1295386928
-
- Dermatopathology (Pathology) Physician
- Pleasant Hill, CA
- NPI 1396161014
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Daly City, CA
- NPI 1548875198
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.