Active NPI
Radhika Rani Trivedi, MD; MPH
- Dermatology Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 96866
- Practice address
- 11975 Morris Rd Ste 310a
Alpharetta, GA 30005-4419 - Phone
- (877) 231-3376
- Fax
- (949) 760-0439
- NPI assigned
- Apr 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 96866 | GA | Primary |
| Dermatology Physician | 207N00000X | A176430 | CA |
Addresses
Primary practice location
11975 Morris Rd Ste 310a
Alpharetta, GA 30005-4419
Mailing address
2505 Harrison Ave
Panama City, FL 32405-4464
Phone (850) 233-3376
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
- Dermatology
- Education
- University of Cincinnati College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 Whitesville St
Lagrange, GA 30240-5903
Phone (877) 231-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 83.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 122 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 88 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176430 | CA | MD | Dermatology Physician |
| 96866 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Georgia, LLC | Multi-Specialty | Current | Accepting new patients |
| West Georgia Dermatology PC | Multi-Specialty | Current | Accepting new patients |
| Silverberg MD a Professional Corporation | Multi-Specialty | Current | Accepting new patients |
| J. Robert West, M.D., Inc | Multi-Specialty | Past | Accepting new patients |
Locations
1401 Avocado Ave
Ste 703
Newport Beach, CA 92660
Phone (949) 751-6683
2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619
11975 Morris Rd
Ste 310A
Alpharetta, GA 30005
Phone (678) 392-4433
1605 Whitesville St
Lagrange, GA 30240
Phone (706) 548-3019
2550 Windy Hill Rd SE
Ste 200
Marietta, GA 30067
Phone (770) 952-2100
Interoperability endpoints
- radhika.trivedi@epiphanyderm.emadirect.md
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.
-
- Dermatology Physician
- Athens, GA
- NPI 1437298957
Multi-Specialty
-
- Specialist
- Newport Beach, CA
- NPI 1811085608
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1821521733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054464",
"telephone_number": "850-233-3376",
"fax_number": "850-522-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11975 MORRIS RD STE 310A",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054419",
"telephone_number": "877-231-3376",
"fax_number": "949-760-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "RADHIKA",
"middle_name": "RANI",
"credential": "MD; MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "96866",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A176430",
"primary": false
}
],
"identifiers": [],
"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 Mar 4, 2026; 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.