Individual provider Active NPI

Ganesh N Kini, MD

  • Internal Medicine Physician
  • Conyers, GA
National Provider Identifier
1881652519
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30120 Issued in GA
Practice address
2601 Salem Rd SE
Conyers, GA 30013-2127
Phone
(770) 922-1880
Fax
(770) 388-0201
NPI assigned
May 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30120 GA Primary

Addresses

Primary practice location

2601 Salem Rd SE
Conyers, GA 30013-2127

Mailing address

2601 Salem Rd SE
Conyers, GA 30013-2127
Phone (770) 922-1880

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
I20050411000050 GA Practitioner - Internal Medicine 6709823073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Family Care, LLCGroup PAC ID 4284664657, 2 clinicians

Practice addresses (Care Compare)

2491 Panola Rd
Lithonia, GA 30058-4831
Phone (678) 205-4999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Family Care, LLC CurrentSince Feb 8, 2020 Accepting new patients
Piedmont Providers LLC Internal Medicine PastSince Dec 10, 2018 Accepting new patients
Rocdale Physician Practices, LLC Internal Medicine Past Accepting new patients

Locations

2601 Salem Rd SE
Conyers, GA 30013
Phone (678) 205-4999

2491 Panola Rd
Lithonia, GA 30058
Phone (678) 205-4999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFBDA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881652519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SALEM RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132127",
            "telephone_number": "770-922-1880",
            "fax_number": "770-388-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SALEM RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132127",
            "telephone_number": "770-922-1880",
            "fax_number": "770-388-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINI",
        "first_name": "GANESH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "30120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.