Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nidha Jivan, PA

Individual provider Interventional Cardiology Physician · NPI 1902580772

Nidha Jivan, PA is a Physician Assistant in Snellville, Georgia. Qualified in 2023, 3 years ago. Practices with Piedmont Cardiology of Atlanta, LLC, a 479-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Tree Ln Ste 250
Snellville, GA 30078-6799
Phone: (770) 736-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 Meijer Dr, Florence, KY 41042-5128 — (661) 304-5415

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11663 (GA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 11663 (GA)

Record details

NPI number1902580772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address410 Meijer Dr, Florence, KY 41042-5128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Piedmont Cardiology Of Atlanta, Llc — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Snellville