Individual provider Active NPI

Amita Thakkar, M.D.

  • Rheumatology Physician
  • Cumming, GA
National Provider Identifier
1841446721
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
80516 Issued in GA
Practice address
2000 Howard Farm Dr Ste 400
Cumming, GA 30041
Phone
(470) 747-3134
Fax
(404) 649-6219
NPI assigned
Aug 12, 2008
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 80516 GA Primary

Addresses

Primary practice location

2000 Howard Farm Dr Ste 400
Cumming, GA 30041

Mailing address

6600 Peachtree Dunwoody Rd Ste 325
Atlanta, GA 30328-6773
Phone (404) 876-1906

Other practice location 1

3400 Old Milton Pkwy Ste C500
Alpharetta, GA 30005-4408
Phone (678) 775-2284

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amitathakkar@lmg.allscriptsdirect.net Direct
Direct Messaging Address amitathakkar@lmg.allscriptsdirect.net Direct

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
I20180821000917 GA Practitioner - Rheumatology 4385769017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Northeastern Ohio University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laureate Medical Group at Northside, LLCGroup PAC ID 2668458530, 75 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (678) 775-2284

5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106
Phone (770) 551-9633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80516GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laureate Medical Group at Northside LLC Internal Medicine CurrentSince Sep 15, 2018 Accepting new patients
Northside Cardiovascular Professional Services, LLC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284

3400 Old Milton Pkwy
Ste C500
Alpharetta, GA 30005
Phone (678) 775-2284

550 Peachtree St NE
Ste 1550
Atlanta, GA 30308
Phone (404) 892-2131

2000 Howard Farm Dr
Ste 400
Cumming, GA 30041
Phone (470) 747-3134

6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500

6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328

Interoperability endpoints

  • Direct secure messaging: amitathakkar@lmg.allscriptsdirect.net

Organizations & group practices 2

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 3

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1841446721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY RD STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286773",
            "telephone_number": "404-876-1906",
            "fax_number": "678-781-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HOWARD FARM DR STE 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "470-747-3134",
            "fax_number": "404-649-6219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy Ste C500",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054408",
            "country_code": "US",
            "telephone_number": "678-775-2284",
            "fax_number": "678-775-2285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "AMITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "80516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitathakkar@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "3400 Old Milton Pkwy Ste C500",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300054408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitathakkar@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "2000 Howard Farm Dr Ste 400",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.