Individual provider Active NPI

Neha Amin, D.O.

  • Surgery Physician
  • Canton, GA
National Provider Identifier
1699107698
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
79929 Issued in GA
Practice address
125 Oakside CT Ste 202
Canton, GA 30114-2498
Phone
(908) 770-6832
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 83421 SC
Surgical Critical Care Physician 2086S0102X OS17773 FL
Surgical Critical Care Physician 2086S0102X 79929 GA
Surgical Critical Care Physician 2086S0102X 83421 SC
Surgical Critical Care Physician 2086S0102X 34C.000196 OH
Surgery Physician 208600000X 79929 GA Primary

Addresses

Primary practice location

125 Oakside CT Ste 202
Canton, GA 30114-2498

Mailing address

770 Summit Ter
Marietta, GA 30068-4146
Phone (908) 770-6832

Other practice location 1

3950 Austell Rd
Austell, GA 30106-1121
Phone (706) 863-9595

Other practice location 2

3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Phone (706) 863-9595

Other practice location 3

214 W Bowery St
Akron, OH 44308-1046
Phone (330) 543-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181022002573 GA Practitioner - General Surgery 1456604404 Reassigns benefits to 3 organizations
I20210326001924 SC Practitioner - General Surgery 1456604404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Wound Care Georgia LLCGroup PAC ID 8022538891, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

125 Oakside CT
Suite 202
Canton, GA 30114-2498
Phone (908) 770-6832

408 E Dekalb St
Suite a
Camden, SC 29020-4429
Phone (770) 213-8376

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79929GAMDSurgery Physician
OS17773FLMDSurgical Critical Care Physician
34C.000196OHMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Wound Care Georgia LLC Surgery CurrentSince Oct 30, 2024 Accepting new patients
Renewal Wound Care Georgia LLC Surgery Current Accepting new patients
Champions Clinical Services, LLC Surgery CurrentSince Feb 27, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 12, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 12, 2024 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1537 Walton Way
Augusta, GA 30904
Phone (706) 721-1200

3624 J Dewey Gray Cir
Ste 304
Augusta, GA 30909

3618 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 520-7442

125 Oakside Ct
Ste 202
Canton, GA 30114
Phone (678) 880-7576

408 E DeKalb St
Ste A
Camden, SC 29020
Phone (770) 213-8376

Interoperability endpoints

  • Direct secure messaging: renewalcanton.nehaamin@160436.advancedmd-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1699107698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SUMMIT TER",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684146",
            "telephone_number": "908-770-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKSIDE CT STE 202",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142498",
            "telephone_number": "908-770-6832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Austell Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061121",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 J Dewey Gray Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091868",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 W Bowery St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443081046",
            "country_code": "US",
            "telephone_number": "330-543-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "NEHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "83421",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "OS17773",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "79929",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "SC",
            "license": "83421",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "34C.000196",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "79929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.