NPIMap

Organization Active NPI

Dr Mahaveer Vakharia MD PC

  • Psychiatry Physician
  • Powder Springs, GA
National Provider Identifier
1871739680
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
038390 Issued in GA
Legal business name
DR MAHAVEER VAKHARIA MD PC
Practice address
4171 Marietta St Ste 200
Powder Springs, GA 30127-2696
Phone
(770) 943-8701
Fax
(770) 943-8936
NPI assigned
Dec 29, 2008
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Mahaveer C Vakharia, MDNPI 1457366882
Title
MD
Phone
(770) 943-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 038390 GA Primary

Addresses

Primary practice location

4171 Marietta St Ste 200
Powder Springs, GA 30127-2696

Mailing address

4171 Marietta St Ste 200
Powder Springs, GA 30127-2696
Phone (770) 943-8701

Other practice location 1

112 Corporate Dr
Carrollton, GA 30117-2464
Phone (770) 943-8701

Other identifiers 1

IdentifierTypeStateIssuer
00677652AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000464 GA Part B Supplier - Clinic/Group Practice 0648334441 Receives reassigned benefits from 5 practitioners
Practice locations: Carrollton, GA; Powder Springs, GA

National Provider Directory

National Provider Directory

Locations

100 Professional Pl
Ste 301
Carrollton, GA 30117
Phone (770) 214-2300

112 Corporate Dr
Carrollton, GA 30117
Phone (770) 214-2300

4171 Marietta St
Ste 200
Powder Springs, GA 30127
Phone (770) 222-8702

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1871739680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 MARIETTA ST STE 200",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272696",
            "telephone_number": "770-943-8701",
            "fax_number": "770-943-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 MARIETTA ST STE 200",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272696",
            "telephone_number": "770-943-8701",
            "fax_number": "770-943-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301172464",
            "country_code": "US",
            "telephone_number": "770-943-8701",
            "fax_number": "770-943-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR MAHAVEER VAKHARIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "VAKHARIA",
        "authorized_official_first_name": "MAHAVEER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-943-8701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "038390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00677652A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.