Active NPI
Sunita Gupta, MD
- Psychiatry Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 049454
- Practice address
- 370 Prospect PL
Georgetown Office Park
Alpharetta, GA 30005-5467 - Phone
- (678) 393-3374
- Fax
- (678) 393-9374
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 049454 | GA | Primary |
Addresses
Primary practice location
370 Prospect PL
Georgetown Office Park
Alpharetta, GA 30005-5467
Mailing address
370 Prospect PL
Alpharetta, GA 30005-5467
Phone (678) 393-3374
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 584723830AB | Medicaid | GA | |
| 584723830A | Medicaid | GA | |
| 7586528 | Other | AETNA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
370 Prospect PL
Alpharetta, GA 30005-5467
Phone (678) 393-3374
370 Prospect Place
Georgetowne Office Park
Alpharetta, GA 30005-5467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049454 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunita Gupta MD PC | Psychiatry | Current | Accepting new patients |
Locations
370 Prospect Pl
Ofc Park
Alpharetta, GA 30005
Phone (678) 393-3374
370 Prospect Pl
Ofc Prk
Alpharetta, GA 30005
Phone (678) 393-3374
370 Prospect Pl
Alpharetta, GA 30005
Phone (378) 393-3374
11180 State Bridge Rd
Ste 205
Johns Creek, GA 30022
Phone (678) 358-9672
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFHHCD/Endpoint/JFHHCD
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.
-
- Psychiatry Physician
- Alpharetta, GA
- NPI 1366503393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1811966831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 PROSPECT PL",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055467",
"telephone_number": "678-393-3374",
"fax_number": "678-393-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 PROSPECT PL",
"address_2": "GEORGETOWN OFFICE PARK",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055467",
"telephone_number": "678-393-3374",
"fax_number": "678-393-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SUNITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "049454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "584723830AB",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "584723830A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7586528",
"state": null
}
],
"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 Apr 28, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.