Active NPI
Avantika Varma, M.D.
- Family Medicine Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82481
- Practice address
- 3472 Winter Wood Way
Marietta, GA 30062-1293 - Phone
- (404) 595-1697
- NPI assigned
- Apr 8, 2013
- Last updated
- Apr 28, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82481 | GA | Primary |
Addresses
Primary practice location
3472 Winter Wood Way
Marietta, GA 30062-1293
Mailing address
650 Ponce de Leon Ave NE Ste 300
Atlanta, GA 30308-1864
Phone (404) 595-1697
Other practice location 1
1650 County Services Pkwy SW Ste 200
Marietta, GA 30008
Phone (770) 514-2806
Other practice location 2
2750 E Beltline NE
Grand Rapids, MI 49503
Phone (616) 267-7015
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Med of Cobb, P.C. | Single Specialty | Current | Accepting new patients |
| Blossom Q Health, Inc. | Family Medicine | Current | Accepting new patients |
| Positive Impact Health Centers Inc | Single Specialty | Current | Accepting new patients |
| Positive Impact Health Centers, Inc. | Current | Accepting new patients |
Locations
650 Ponce de Leon Ave NE
Ste 300
Atlanta, GA 30308
Phone (404) 493-4412
523 Church St
Decatur, GA 30030
Phone (404) 589-9040
3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396
3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396
2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000
1650 County Services Pkwy SW
Marietta, GA 30008
Phone (770) 514-2300
1650 County Services Pkwy SW
Ste 200
Marietta, GA 30008
Phone (678) 213-2001
Interoperability endpoints
- avantika.varma@337577483108356.direct.elationemr.com
- https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Duluth, GA
- NPI 1790861995
Single Specialty
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1265473656
Single Specialty
-
dba PIHC Pharmacy
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1912476466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1760825905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PONCE DE LEON AVE NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081864",
"telephone_number": "404-595-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3472 WINTER WOOD WAY",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300621293",
"telephone_number": "404-595-1697"
}
],
"practiceLocations": [
{
"address_1": "1650 County Services Pkwy SW Ste 200",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "30008",
"country_code": "US",
"telephone_number": "770-514-2806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2750 E Beltline NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "49503",
"country_code": "US",
"telephone_number": "616-267-7015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARMA",
"first_name": "AVANTIKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "82481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.