Individual provider Active NPI

Radhika Rani Trivedi, MD; MPH

  • Dermatology Physician
  • Alpharetta, GA
National Provider Identifier
1821521733
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
96866 Issued in GA
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

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 96866 GA Primary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906004136 GA Practitioner - Dermatology 4688951775 Reassigns benefits to 1 organization

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
Dermatology Specialists of Georgia LLCGroup PAC ID 5799770624, 16 clinicians

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 100Reported as group
Quality
83.29
Promoting interoperability
100
Improvement activities
40
Cost
79.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions122
Removal or shaving of skin growth1-10
Skin biopsy88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176430CAMDDermatology Physician
96866GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Georgia, LLC Multi-Specialty CurrentSince Jun 15, 2024 Accepting new patients
West Georgia Dermatology PC Multi-Specialty Current Accepting new patients
Silverberg MD a Professional Corporation Multi-Specialty CurrentSince Aug 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.