NPIMap

Individual provider Active NPI

Priti V Jindal, MD

  • Internal Medicine Physician
  • Canton, GA
National Provider Identifier
1003850322
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
90588 Issued in GA
Practice address
240 Marietta Hwy
Canton, GA 30114-2311
Phone
(812) 360-3381
Fax
(812) 269-5214
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01075098A IN
Internal Medicine Physician 207R00000X 90588 GA Primary

Addresses

Primary practice location

240 Marietta Hwy
Canton, GA 30114-2311

Mailing address

PO Box 7677
Bloomington, IN 47407-7677
Phone (812) 260-1394

Other practice location 1

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (512) 417-3733

Other practice location 2

2455 N Tamarack Trl
Bloomington, IN 47408
Phone (512) 417-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA, AL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150624002331 IN Practitioner - Internal Medicine 3375592322 Reassigns benefits to 1 organization
I20220329000694 GA Practitioner - Internal Medicine 3375592322 Reassigns benefits to 4 organizations
I20251104003429 AL Practitioner - Internal Medicine 3375592322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

Hospital & facility affiliations

  • Bridgeway Home Health Home health agency, Conyers, GA, CCN 117111
  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
  • Riverside Health Care Center Nursing home, Covington, GA, CCN 115375
  • Nurse Care of Buckhead Nursing home, Atlanta, GA, CCN 115129
  • Douglasville Center for Nursing and Healing LLC Nursing home, Douglasville, GA, CCN 115273
  • Regency Park Health and Rehabilitation Nursing home, Dalton, GA, CCN 115663
  • Perimeter Rehabilitation Suites by Harborview Nursing home, Atlanta, GA, CCN 115270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Disease Management of Georgia, LLC CurrentSince Aug 1, 2023 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients
Transitional Care Physicians of Georgia PC CurrentSince Mar 23, 2022 Accepting new patients
Alabama Mso LLC CurrentSince Aug 28, 2025 Accepting new patients
Medical Director Services PC CurrentSince Aug 28, 2025 Accepting new patients
Hardy Renew Wellness,LLC Internal Medicine CurrentSince Oct 9, 2023 Accepting new patients
Riverside Healthcare, L.P. Past Accepting new patients
Facility Investments, L.P. Past Accepting new patients
Pharr Court Associates L.P. Past Accepting new patients
Seton Hospitalist Service Internal Medicine Past Accepting new patients
HLTC, Inc. Past Accepting new patients
Five Star Rehabilitation and Wellness Services, LLC PastSince May 8, 2022 Accepting new patients
East Cobb Center for Nursing and Healing LLC Past Accepting new patients
Cumming Operating Company LLC Past Accepting new patients
HLTC, Inc. Past Accepting new patients
Social Circle Cypress LLC Past Accepting new patients
Sandy Springs Center for Nursing and Healing LLC Past Accepting new patients
Dunwoody Health Center by Harborview, LLC Past Accepting new patients
HLTC, Inc. Past Accepting new patients
Douglasville Nursing and Rehabilitation Center, LLC Past Accepting new patients
Tucker Operating Company LLC Past Accepting new patients

Locations

401 Arnold St NE
Cullman, AL 35055
Phone (256) 739-4409

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1003850322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7677",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474077677",
            "telephone_number": "812-260-1394",
            "fax_number": "812-269-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MARIETTA HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142311",
            "telephone_number": "812-360-3381",
            "fax_number": "812-269-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "512-417-3733",
            "fax_number": "812-269-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 N Tamarack Trl",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "47408",
            "country_code": "US",
            "telephone_number": "512-417-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "PRITI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075098A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "90588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.