Individual provider Active NPI

Nisha Kalia, MD

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
National Provider Identifier
1902139330
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
88138 Issued in GA
Practice address
3905 Brookside Pkwy Ste 201
Alpharetta, GA 30022-4425
Phone
(770) 521-2296
Fax
(770) 255-0333
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD461362 PA
Obstetrics & Gynecology Physician 207V00000X 88138 GA Primary

Addresses

Primary practice location

3905 Brookside Pkwy Ste 201
Alpharetta, GA 30022-4425

Mailing address

5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035

Other practice location 1

5780 Peachtree Dunwoody Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035

Other identifiers 1

IdentifierTypeStateIssuer
300034164AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171023002377 PA Practitioner - Obstetrics/Gynecology 1850527516 Reassigns benefits to 1 organization
I20241028000411 GA Practitioner - Obstetrics/Gynecology 1850527516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1800 Northside Forsyth Dr
Suite 350
Cumming, GA 30041-8483
Phone (770) 886-3555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88138GAMDObstetrics & Gynecology Physician
MD461362PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Jan 6, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 15, 2024 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2017 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2017 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Allegheny Clinic Current Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1800 Northside Forsyth Dr
Ste 350
Cumming, GA 30041
Phone (770) 205-6501

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

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

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1307 Federal St
Ste B200
Pittsburgh, PA 15212
Phone (412) 322-4545

Organizations & group practices 7

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1902139330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-8035",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "770-521-2296",
            "fax_number": "770-255-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5780 Peachtree Dunwoody Ste 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421513",
            "country_code": "US",
            "telephone_number": "404-303-8035",
            "fax_number": "404-303-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIA",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD461362",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "88138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034164A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.