Individual provider Active NPI

Manisha Shroff, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1699708750
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
054125 Issued in GA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181003003393 GA Practitioner - Psychiatry 9234134404 Reassigns benefits to 2 organizations
I20220708002379 NC Practitioner - Psychiatry 9234134404 Reassigns benefits to 1 organization
I20221220001484 TX Practitioner - Psychiatry 9234134404 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
054125GAMDPsychiatry Physician
2022-01087NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Aug 24, 2022 Accepting new patients
Brightside Medical of Michigan PC Psychiatry CurrentSince Feb 1, 2024 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Jan 3, 2019 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Aug 24, 2022 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Jan 3, 2019 Accepting new patients
Brightside Medical, P.C. Psychiatry CurrentSince Feb 1, 2024 Accepting new patients
Eleanor Health Professional NC, PLLC Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Eleanor Health Professional TX, PLLC Psychiatry CurrentSince Nov 11, 2022 Accepting new patients
Eleanor Health Professional TX, PLLC Psychiatry CurrentSince Nov 11, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.