Individual provider Active NPI

Atul M. Devani, MD

  • Family Medicine Physician
  • Hinesville, GA
National Provider Identifier
1053571117
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
066590 Issued in GA
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

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
624838OtherGAWELLCARE
GA1242MedicaidSC
003112641AMedicaidGA
003112641BMedicaidGA
003112641CMedicaidGA
P01003836OtherGARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000019 GA Practitioner - Family PracticePractitioner - Emergency Medicine 0446421341 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors to Go LLCGroup PAC ID 4688114416, 17 clinicians

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

LicenseStateTypeSpecialty
066590GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Candler County CurrentSince Jul 18, 2024 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Current Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine CurrentSince Aug 15, 2014 Accepting new patients
Hospital Authority of Candler County Current Accepting new patients
Southland Optim Screven Emergency Medical Services LLC CurrentSince May 1, 2015 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Mar 1, 2015 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Sep 1, 2016 Accepting new patients
Hospital Authority of Candler County CurrentSince Jul 18, 2024 Accepting new patients
Southland Cochran Emergency Medical Services, LLC CurrentSince Aug 15, 2014 Accepting new patients
Doctors to Go, LLC CurrentSince Jun 9, 2024 Accepting new patients
Southland Behavioral Health Services LLC Family Medicine CurrentSince May 1, 2020 Accepting new patients
Evans Memorial Hospital, Inc. Past Accepting new patients
Wills Memorial Emergency Medical Services, LLC Past Accepting new patients

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.

View all 13

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.