Marvin Vaishnani, M.D.
NPI 1184069510 · Internal Medicine Physician · Newnan, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marvin Vaishnani, M.D. is a Internal Medicine Physician provider in Newnan, GA (NPI 1184069510).
Provider details
- NPI number
- 1184069510
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 75939 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
713 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 300 | $112 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 218 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 130 | $107 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 54 | $163 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 11 | $124 |
Typical Medicare-allowed amounts for these services range $74–$163 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 24 | 13 |
| Metoprolol Tartrate | 22 | 13 |
| Prednisone | 16 | 16 |
| Amlodipine Besylate | 13 | 11 |
| Cefdinir | 12 | 12 |
| Furosemide | 11 | — |
| Cefuroxime Axetilbrand: Cefuroxime | 11 | 11 |
Practice location
Mailing address
Additional practice locations (1)
- 501 Redmond Rd NwRome, GA 30165-1415Phone: (706) 291-0291
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2024-04-15
- Certified
- 2024-04-15
Frequently asked questions
- What is Marvin Vaishnani's NPI number?
- Marvin Vaishnani's National Provider Identifier (NPI) is 1184069510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marvin Vaishnani's specialty?
- Marvin Vaishnani is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marvin Vaishnani located?
- Marvin Vaishnani's practice location on file with NPPES is 745 Poplar Rd, Newnan, GA 30265-1618.
- What is Marvin Vaishnani's phone number?
- The practice phone number listed in the NPPES registry for Marvin Vaishnani is (770) 400-2353.
- Does Marvin Vaishnani accept Medicare?
- Marvin Vaishnani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marvin Vaishnani's NPI active?
- Yes — Marvin Vaishnani's NPI (1184069510) is active in the NPPES registry as of the last update on 2024-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.