NPIMap

Individual provider Active NPI

Vinaya Gokki, MD

  • Family Medicine Physician
  • East Point, GA
National Provider Identifier
1821205360
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67574 Issued in GA
Practice address
2084 Headland Dr
East Point, GA 30344
Phone
(404) 965-5691
Fax
(404) 698-1478
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67574 GA Primary

Addresses

Primary practice location

2084 Headland Dr
East Point, GA 30344

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

1121 Johnson Ferry Rd Ste 320
Marietta, GA 30068-5404
Phone (770) 509-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000476 GA Practitioner - Family Practice 2769537752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter North Family Practice LLC Family Medicine CurrentSince Aug 5, 2012 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Dec 1, 2016 Accepting new patients
The Emory Clinic Inc CurrentSince Feb 3, 2025 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine CurrentSince Dec 1, 2016 Accepting new patients
Jencare Neighborhood Medical Center West End, LLC PastSince Aug 4, 2014 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

9 Dunwoody Park
Ste 129
Dunwoody, GA 30338

1121 Johnson Ferry Rd
Ste 320
Marietta, GA 30068
Phone (770) 509-0017

1230 Johnson Ferry Pl
Ste B10
Marietta, GA 30068
Phone (770) 509-0017

960 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 255-7325

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: vgokki568467@direct.emory.org

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.

Hospital & facility affiliations 6

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1821205360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-965-5691",
            "fax_number": "404-698-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Johnson Ferry Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685404",
            "country_code": "US",
            "telephone_number": "770-509-0017",
            "fax_number": "770-971-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOKKI",
        "first_name": "VINAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.