Active NPI
Ajay Kumar Ravi, M.D.
- Vascular & Interventional Radiology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 69938
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- NPI assigned
- Apr 3, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.203359 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 27363 | OK | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 69938 | GA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 69938 | GA |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
200 W Academy Street
Gainesville, GA 30501
Phone (770) 282-8820
Other practice location 2
901 18th St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Other practice location 3
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003135877AD | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aravi31957@nghs.gadirect.net | Direct |
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415
1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-9000
227 Mountain Dr
Dahlonega, GA 30533-1606
Phone (770) 219-9000
316 N Broad St
Winder, GA 30680-2150
Phone (770) 282-8820
3425 Buford Dr
Suite 100
Buford, GA 30519-8785
Phone (770) 282-8820
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3553
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Coliseum Medical Centers, LLC, Dba
- Piedmont Macon North Hospital
- Piedmont Henry Hospital
- NGMC Barrow, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69938 | GA | MD | Diagnostic Radiology Physician |
| MD.203359 | LA | MD | Diagnostic Radiology Physician |
| 27363 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Family Medicine | Current | Accepting new patients |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| South Georgia Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Family Medicine | Current | Accepting new patients |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Past | Accepting new patients |
Locations
163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
3425 Buford Dr
Ste 100
Buford, GA 30519
Phone (678) 765-6060
227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136
108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
725 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 539-9391
3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500
1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444
535 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (770) 534-9729
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
200 W Academy St NW
Gainesville, GA 30501
Phone (770) 800-0041
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
316 N Broad St
Ste 230
Winder, GA 30680
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Gainesville, GA
- NPI 1922037605
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Family Medicine
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1760669931
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1063533149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000"
}
],
"practiceLocations": [
{
"address_1": "200 W Academy Street",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "30501",
"country_code": "US",
"telephone_number": "770-282-8820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 18th St E",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943648",
"country_code": "US",
"telephone_number": "229-382-7120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312173838",
"country_code": "US",
"telephone_number": "478-765-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVI",
"first_name": "AJAY",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.203359",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "27363",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "69938",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "69938",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135877AD",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aravi31957@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.