Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIMISHA J TRIVEDI, MD
Deactivated Sole ProprietorDR. NIMISHA J TRIVEDI, MD is a Family Medicine healthcare provider located in LOCUST GROVE, Georgia. NPI 1629074299 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · LOCUST GROVE, GA
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629074299
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2005 (0.71780821917808 yrs)
- Last Updated
- Sep 15, 2016
- Deactivated
- Mar 17, 2006
- Licenses
-
053715 (GA)053715 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3778 HIGHWAY 42LOCUST GROVE, GA, 30248Browse GA providers · Browse ZIP 30248
- Phone
- 6786106649
- Fax
- 6786106025
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Urgent Care Center
Other Family Medicine Providers in LOCUST GROVE, GA
| Name | Credential | NPI |
|---|---|---|
| SHEHNAZ MAKHANI | MD | 1720088511 |
| JAMESON ANDREW ESTES | M.D. | 1265567796 |
| CHARMILLE AIMESA GARNETT HARE | DO | 1114140704 |
| CHETAN SHARMA | M.D. | 1871763011 |
| JEAN ROBERT FERDINAND | MD | 1265744759 |
| REGAN JOY FRAKE | M.D. | 1851823520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.