Active NPI
Preyasi Kothari, MD
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036177210
- Practice address
- 1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606 - Phone
- (404) 851-8000
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036177210 | IL | Primary |
Addresses
Primary practice location
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Mailing address
49 Jesse Hill Drive
Atlanta, GA 30303-4078
Phone (404) 616-6673
Other practice location 1
742 W Diversey Pkwy
Chicago, IL 60614-1550
Phone (773) 261-8300 ext. 05600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070166 | Other | GA | GA MEDICAL BOARD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York Downstate Medical Center, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000
Hospital & facility affiliations
- Piedmont Fayette Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.67 of 100
- Improvement activities
- 40
- Cost
- 79.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036177210 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Sandy Creek Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Coweta Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
Interoperability endpoints
- preyasi.kothari.1@13676.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Fayetteville, GA
- NPI 1427817881
-
- Emergency Medicine Physician
- Newnan, GA
- NPI 1245556588
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1053170605
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1982921409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 JESSE HILL DRIVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303034078",
"telephone_number": "404-616-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8000"
}
],
"practiceLocations": [
{
"address_1": "742 W Diversey Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606141550",
"country_code": "US",
"telephone_number": "773-261-8300 x05600",
"fax_number": "312-761-1855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTHARI",
"first_name": "PREYASI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036177210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA MEDICAL BOARD",
"identifier": "070166",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.