Jawahar Reddy Gazzala, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

79419 Issued in GA

Practice address

1468 Montreal Rd
Tucker, GA 30084

Phone

(470) 273-6263

Fax

(678) 916-4957

NPI assigned

Jul 16, 2008

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

97.16 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta Heart Specialists LLC

  • Cardiovascular Disease Physician
  • Tucker, GA
  • NPI 1891881827
  Medicare reassignment NPD
• American Drug Testing Lab LLC

  • Clinical Medical Laboratory
  • Scottsboro, AL
  • NPI 1497197321
  Medicare reassignment NPD
• Premier Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Scottsboro, AL
  • NPI 1083955173
  Medicare reassignment NPD
• Valley Head Clinic LLC

  • Clinic/Center
  • Fort Payne, AL
  • NPI 1790004836
  Medicare reassignment NPD
• Valley Head Clinic LLC

  dba Pisgah Medical Clinic

  • Multi-Specialty Clinic/Center
  • Pisgah, AL
  • NPI 1679827497
  NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1033373238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846901",
            "telephone_number": "470-273-6263",
            "fax_number": "678-916-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "470-273-6263",
            "fax_number": "678-916-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 PARKS AVENUE",
            "address_purpose": "LOCATION",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682411",
            "country_code": "US",
            "telephone_number": "256-259-4745",
            "fax_number": "256-259-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5667 Peachtree Dunwoody Rd Ste 390",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421714",
            "country_code": "US",
            "telephone_number": "470-225-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5910 Hillandale Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300581880",
            "country_code": "US",
            "telephone_number": "678-578-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4120 Five Forks Trickum Rd SW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300478975",
            "country_code": "US",
            "telephone_number": "770-255-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4375 Johns Creek Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246087",
            "country_code": "US",
            "telephone_number": "770-622-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Northside Blvd Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417662",
            "country_code": "US",
            "telephone_number": "678-679-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2665 N Decatur Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300336136",
            "country_code": "US",
            "telephone_number": "404-856-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 Old Norcross Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464981",
            "country_code": "US",
            "telephone_number": "770-513-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZZALA",
        "first_name": "JAWAHAR",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "34141",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "79419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "BP10039371",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Rain Garland, APC
• Kenisha Lashun Garrett
• Gary L Heller, DDS, PC
• Demetrios Gavalas, PHARM.D
• Natali N/a Gavrielov
• Mussie Gebremedihn, M.D.
• Gemariah Healthcare Inc
• Generations Hospice and Palliative Care, LLC
• Sharon Jyoti George, MD
• Sophia P Georges, AGNP-C

• Cardiovascular Disease Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.