Priyadarshini Charles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11657 Issued in GA

Practice address

5667 Peachtree Dunwoody Rd Ste 330
Atlanta, GA 30342-1757

Phone

(404) 252-5669

Fax

(404) 252-9473

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: priyadarshini.charles.p46@direct.newportmed.nextgenshare.com

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.

• Atlanta Colon and Rectal Surgery, PA

  • Colon & Rectal Surgery Physician
  • Atlanta, GA
  • NPI 1356382865

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1922780477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421757",
            "telephone_number": "404-252-5669",
            "fax_number": "404-252-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421757",
            "telephone_number": "404-252-5669",
            "fax_number": "404-252-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "PRIYADARSHINI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dudley Charles, MD
• Hearns Charles, M.D.
• Keri L Charles, NNP
• Lisa Charles
• Melody A Charles, RD, PA-C
• Racquel Charles
• Ramona Charles, LAPC
• Rose Charles
• Sondra Charles, CNAS
• Stephanie Rachel Charleville, PT

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.