Individual provider Active NPI

Nimish Naresh Dhruva, MD

  • Cardiovascular Disease Physician
  • Fayetteville, GA
National Provider Identifier
1760487920
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
045200 Issued in GA
Practice address
1267 Highway 54 W
Suite 2200
Fayetteville, GA 30214-2114
Phone
(770) 716-0051
Fax
(770) 716-0087
NPI assigned
Jun 15, 2005
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 045200 GA Primary

Addresses

Primary practice location

1267 Highway 54 W
Suite 2200
Fayetteville, GA 30214-2114

Mailing address

1267 Highway 54 W
Suite 2200
Fayetteville, GA 30214-2114
Phone (770) 716-0051

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000021 GA Practitioner - Cardiovascular Disease (Cardiology) 3678643665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W
Suite 4100
Fayetteville, GA 30214-2112
Phone (770) 506-5470

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

20 Francis Way
Sharpsburg, GA 30277-3589

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912

795 Poplar Rd
Suite 400
Newnan, GA 30265-2590
Phone (770) 254-6089

95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000

95 Collier Rd NW
Suite 6000
Atlanta, GA 30309-1796
Phone (404) 605-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045200GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Nov 3, 2009 Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

275 Collier Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 350-0009

275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562

95 Collier Rd NW
Ste 2035
Atlanta, GA 30309
Phone (404) 355-9815

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

20 Francis Way
Ste 101
Sharpsburg, GA 30277
Phone (404) 352-1611

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1760487920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W",
            "address_2": "SUITE 2200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142114",
            "telephone_number": "770-716-0051",
            "fax_number": "770-716-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W",
            "address_2": "SUITE 2200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142114",
            "telephone_number": "770-716-0051",
            "fax_number": "770-716-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHRUVA",
        "first_name": "NIMISH",
        "middle_name": "NARESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "045200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.