Active NPI
Kiara Gabriela Cervantes
- Marriage & Family Therapist
- Alpharetta, GA
National Provider Identifier
1730901737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 3400 Old Milton Pkwy Ste C395
Alpharetta, GA 30005-3731 - Phone
- (678) 384-4911
- NPI assigned
- Oct 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3400 Old Milton Pkwy Ste C395
Alpharetta, GA 30005-3731
Mailing address
2265 Marietta Blvd NW Apt 2372
Atlanta, GA 30318-2069
Phone (601) 917-5220
Other practice location 1
3235 S Cherokee Ln Bldg 1200
Woodstock, GA 30188-4461
Phone (678) 384-4911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1730901737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 MARIETTA BLVD NW APT 2372",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182069",
"telephone_number": "601-917-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY STE C395",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053731",
"telephone_number": "678-384-4911"
}
],
"practiceLocations": [
{
"address_1": "3235 S Cherokee Ln Bldg 1200",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301884461",
"country_code": "US",
"telephone_number": "678-384-4911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERVANTES",
"first_name": "KIARA",
"middle_name": "GABRIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.