Nisha Chande, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

61454 Issued in GA

Practice address

585 Cobb Ave NW
Kennesaw Hall Building 1; Room 2401; MD 0117
Kennesaw, GA 30144-5563

Phone

(470) 578-6600

Fax

(470) 578-9102

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nisha Chande Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Uplift Psychiatry

  • Psychiatry Physician
  • Kennesaw, GA
  • NPI 1285407361
  NPD Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1902082282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 COBB AVE NW",
            "address_2": "KENNESAW HALL BUILDING 1; ROOM 2401; MD 0117",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445563",
            "telephone_number": "470-578-6600",
            "fax_number": "470-578-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 COBB AVE NW",
            "address_2": "KENNESAW HALL BUILDING 1; ROOM 2401; MD 0117",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445563",
            "telephone_number": "470-578-6600",
            "fax_number": "470-578-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDE",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "61454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "CHANDE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Center for Authentic Life & Relationship, LLC
• Bruce J Cerbone, MA, BCPC, CCTP
• Jamie R Cerrato, LPC
• Donna Marie Chambers, FNP-C
• Nicole M Champ, CCC-SLP
• Eleanor Chandhok
• Chandler & Associates Dental Management, Inc.
• Bianca Cristine Channer, DR.
• Kristin Sarah Chapman, MS, LMFT
• Linda Crenshaw Charrette, LPC

• Psychiatry Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.