Individual provider Active NPI

Priyal Dilipkumar Gadani, O.D.

  • Optometrist
  • Dunwoody, GA
National Provider Identifier
1760612675
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002578 Issued in GA
Practice address
1637 Mount Vernon Rd Ste 100
Dunwoody, GA 30338-4262
Phone
(770) 396-3460
Fax
(770) 668-0436
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Briggs Vision Group, P.C. 7 clinicians

Practice addresses (Care Compare)

1637 Mount Vernon Rd
Suite 100
Dunwoody, GA 30338-4262
Phone (770) 396-3460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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
I20110420000803 GA Practitioner - Ophthalmology 8820142847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002578GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Briggs Vision Group, P.C. Optometrist CurrentSince Mar 13, 2023 Accepting new patients
Buford Eye Surgery Center Current Accepting new patients
Northside Surgical Professional Services LLC PastSince Sep 1, 2022 Accepting new patients
Atlanta Ophthalmology Associates PC PastSince Jul 1, 1999 Accepting new patients

Locations

1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022

970 Sanders Rd
Ste 100
Cumming, GA 30041

1637 Mount Vernon Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 396-3460

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002578 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

1637 Mount Vernon Rd Ste 100
Dunwoody, GA 30338-4262

Mailing address

1637 Mount Vernon Rd Ste 100
Dunwoody, GA 30338-4262
Phone (770) 396-3460

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2020.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1760612675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MOUNT VERNON RD STE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384262",
            "telephone_number": "770-396-3460",
            "fax_number": "770-668-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MOUNT VERNON RD STE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384262",
            "telephone_number": "770-396-3460",
            "fax_number": "770-668-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADANI",
        "first_name": "PRIYAL",
        "middle_name": "DILIPKUMAR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.