Individual provider Active NPI

Sunita Gupta, MD

  • Psychiatry Physician
  • Alpharetta, GA
National Provider Identifier
1811966831
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
049454 Issued in GA
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

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
584723830ABMedicaidGA
584723830AMedicaidGA
7586528OtherAETNA

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
I20040729000894 GA Practitioner - Psychiatry 5395715098 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
049454GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunita Gupta MD PC Psychiatry CurrentSince Oct 6, 2005 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.