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

Vinisha Kalra

Individual provider Physician Assistant · NPI 1194581900

Vinisha Kalra is a Physician Assistant in Fayetteville, Georgia. Qualified in 2024, 2 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

300 Grandmas Ln
Fayetteville, GA 30215-5913
Phone: (762) 822-7861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194581900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address300 Grandmas Ln, Fayetteville, GA 30215-5913

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville