Active NPI
Manisha Shroff, M.D.
- Psychiatry Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 054125
- Practice address
- 1525 Clifton Rd NE
RM 103-I
Atlanta, GA 30322-4200 - Phone
- (404) 727-0387
- Fax
- (404) 727-9086
- NPI assigned
- Jul 9, 2006
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T9867 | TX | |
| Psychiatry Physician | 2084P0800X | 2022-01087 | NC | |
| Psychiatry Physician | 2084P0800X | 054125 | GA | Primary |
Addresses
Primary practice location
1525 Clifton Rd NE
RM 103-I
Atlanta, GA 30322-4200
Mailing address
106 Village Green Cir
Tyrone, GA 30290-1519
Phone (404) 273-2290
Other practice location 1
123 Professional Park Dr Ste 101
Mooresville, NC 28117-5516
Phone (704) 749-9560
Other practice location 2
8500 Village Dr Ste 101
San Antonio, TX 78217-5510
Phone (726) 201-3047
Other names 1
- Mrs. Manisha Shroff Chikhliker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of South Carolina School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
114 Wright Dr
Milledgeville, GA 31061-8546
Phone (912) 662-6501
19 Coach Lee Hill Blvd
Statesboro, GA 30458-4700
Phone (912) 662-6501
49 Park of Commerce Way
Suite 204
Savannah, GA 31405-1394
Phone (912) 662-6501
916 S Broad St
Thomasville, GA 31792-6113
Phone (912) 662-6501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054125 | GA | MD | Psychiatry Physician |
| 2022-01087 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Brightside Medical of Michigan PC | Psychiatry | Current | Accepting new patients |
| McIntosh Trail Community Service Board | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| McIntosh Trail Community Service Board | Current | Accepting new patients | |
| Brightside Medical, P.C. | Psychiatry | Current | Accepting new patients |
| Eleanor Health Professional NC, PLLC | Psychiatry | Current | Accepting new patients |
| Eleanor Health Professional TX, PLLC | Psychiatry | Current | Accepting new patients |
| Eleanor Health Professional TX, PLLC | Psychiatry | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8250
1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730
123 Professional Park Dr
Ste 101
Mooresville, NC 28117
Phone (704) 663-7905
3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737
8500 Village Dr
Ste 101
San Antonio, TX 78217
Phone (726) 201-3047
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- manisha.shroff.2@8042.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Community/Behavioral Health Agency
- Griffin, GA
- NPI 1336317270
-
- Psychiatry Physician
- Hickory, NC
- NPI 1891349155
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- San Antonio, TX
- NPI 1932854981
-
- Community/Behavioral Health Agency
- Griffin, GA
- NPI 1386708212
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1144800350
-
- Addiction Psychiatry Physician
- Denver, CO
- NPI 1891583480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1699708750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 VILLAGE GREEN CIR",
"city": "TYRONE",
"state": "GA",
"postal_code": "302901519",
"telephone_number": "404-273-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 CLIFTON RD NE",
"address_2": "RM 103-I",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224200",
"telephone_number": "404-727-0387",
"fax_number": "404-727-9086"
}
],
"practiceLocations": [
{
"address_1": "123 Professional Park Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281175516",
"country_code": "US",
"telephone_number": "704-749-9560",
"fax_number": "833-918-2112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8500 Village Dr Ste 101",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782175510",
"country_code": "US",
"telephone_number": "726-201-3047",
"fax_number": "833-629-0318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHROFF",
"first_name": "MANISHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "T9867",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2022-01087",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "054125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANISHA",
"last_name": "CHIKHLIKER",
"middle_name": "SHROFF",
"prefix": "MRS.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.