Active NPI
Atul M. Devani, MD
- Family Medicine Physician
- Hinesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 066590
- Practice address
- 462 Elma G Miles Pkwy Ste 102a
Hinesville, GA 31313 - Phone
- (912) 369-9313
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 066590 | GA | Primary |
Addresses
Primary practice location
462 Elma G Miles Pkwy Ste 102a
Hinesville, GA 31313
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
Other practice location 1
1107 E 66th St
Savannah, GA 31404-5701
Phone (912) 350-8404
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624838 | Other | GA | WELLCARE |
| GA1242 | Medicaid | SC | |
| 003112641A | Medicaid | GA | |
| 003112641B | Medicaid | GA | |
| 003112641C | Medicaid | GA | |
| P01003836 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 N River St
Claxton, GA 30417-1659
Phone (912) 739-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066590 | GA | MD | Family Medicine Physician |
Practice roles
Locations
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
200 N River St
Claxton, GA 30417
Phone (912) 739-2611
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
462 Elma G Miles Pkwy
Ste 102A
Hinesville, GA 31313
Phone (912) 369-9310
400 Cedar St
Metter, GA 30439
Phone (912) 685-1726
931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221
1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100
633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552
2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357
351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Metter, GA
- NPI 1205608007
-
- Medicare Defined Swing Bed Hospital Unit
- Metter, GA
- NPI 1588868947
-
- Hospitalist Physician
- Bainbridge, GA
- NPI 1356735336
-
- Hospitalist Physician
- Valdosta, GA
- NPI 1619505765
Family Medicine
-
- Emergency Medicine Physician
- Cocharan, GA
- NPI 1205241395
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
- Emergency Medicine Physician
- Millen, GA
- NPI 1265826242
-
- Emergency Medicine Physician
- Sylvania, GA
- NPI 1174917157
-
- Primary Care Clinic/Center
- Pulaski, GA
- NPI 1316523707
-
- Critical Access Hospital
- Metter, GA
- NPI 1790888089
-
- Emergency Medicine Physician
- Hinesville, GA
- NPI 1477913580
-
- General Acute Care Hospital
- Claxton, GA
- NPI 1730110826
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claxton, GA
- NPI 1730110826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1053571117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MADISON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925473",
"telephone_number": "229-236-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 ELMA G MILES PKWY STE 102A",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-369-9313"
}
],
"practiceLocations": [
{
"address_1": "1107 E 66th St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314045701",
"country_code": "US",
"telephone_number": "912-350-8404",
"fax_number": "912-350-8067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVANI",
"first_name": "ATUL",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "066590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "624838",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GA1242",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003112641A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003112641B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003112641C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01003836",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.