Individual provider Active NPI

Abhishek Krishna, M.D

  • Pulmonary Disease Physician
  • Canton, GA
National Provider Identifier
1861725053
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
000000 Issued in GA
Practice address
460 Northside Cherokee Blvd
Ste 130
Canton, GA 30115
Phone
(678) 493-2527
Fax
(678) 493-5608
NPI assigned
Sep 7, 2009
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT194426 PA
Pulmonary Disease Physician 207RP1001X 000000 GA Primary

Addresses

Primary practice location

460 Northside Cherokee Blvd
Ste 130
Canton, GA 30115

Mailing address

460 Northside Cherokee Blvd
Ste 130
Canton, GA 30115
Phone (678) 493-2527

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cherokeelungandsleep@757.direct.myezyaccess.com Direct
Direct Messaging Address abhishek.krishna@northsidehospital.cernerdirect.com 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
I20170717001148 GA Practitioner - Pulmonary Disease 8325296593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

460 Northside Cherokee Blvd
Suite 130
Canton, GA 30115-8016
Phone (678) 493-2527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.93 of 100Reported as individual
Quality
75.17
Promoting interoperability
83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT194426PAMDInternal Medicine Physician
000000GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince May 8, 2017 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince May 8, 2017 Accepting new patients

Locations

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

460 Northside Cherokee Blvd
Ste 130
Canton, GA 30115
Phone (678) 493-2527

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

433 Highland Pkwy
Ste 203
Ellijay, GA 30540
Phone (706) 698-6400

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

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

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

900 Towne Lake Pkwy
Ste 206
Woodstock, GA 30189
Phone (770) 852-7740

Interoperability endpoints

  • Direct secure messaging: abhishek.krishna@northsidehospital.cernerdirect.com

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": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1861725053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD",
            "address_2": "STE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "678-493-2527",
            "fax_number": "678-493-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD",
            "address_2": "STE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "678-493-2527",
            "fax_number": "678-493-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "ABHISHEK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-07",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT194426",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherokeelungandsleep@757.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "460 Northside Cherokee Blvd",
            "address_2": "Ste 130",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abhishek.krishna@northsidehospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "460 Northside Cherokee Blvd",
            "address_2": "Ste 130",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.