Individual provider Active NPI

Kanwal Kapadia Lalani, PA

  • Physician Assistant
  • Decatur, GA
National Provider Identifier
1720344302
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006406 Issued in GA
Practice address
2665 N Decatur Rd Ste 430
Decatur, GA 30033-6145
Phone
(404) 294-4018
NPI assigned
Apr 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006406 GA Primary

Addresses

Primary practice location

2665 N Decatur Rd Ste 430
Decatur, GA 30033-6145

Mailing address

2665 N Decatur Rd Ste 430
Decatur, GA 30033-6145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131202001835 GA Practitioner - Physician Assistant 6608002373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kapadia Lalani LLC Physician Assistant CurrentSince Feb 10, 2026 Accepting new patients
Southeastern Lung Care PC Past Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

1007 Mansell Rd
Ste A134
Roswell, GA 30076
Phone (770) 765-0874

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70760

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": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1720344302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 430",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 430",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336145",
            "telephone_number": "404-294-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALANI",
        "first_name": "KANWAL",
        "middle_name": "KAPADIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-08",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.