Individual provider Active NPI

Ajay Kumar, M.D.

  • Internal Medicine Physician
  • Eatonton, GA
National Provider Identifier
1073500443
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042326 Issued in GA
Practice address
132 Sparta Hwy
Eatonton, GA 31024-8492
Phone
(706) 485-8495
Fax
(706) 485-7541
NPI assigned
Sep 30, 2005
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042326 GA Primary

Addresses

Primary practice location

132 Sparta Hwy
Eatonton, GA 31024-8492

Mailing address

PO Box 4608
Eatonton, GA 31024-4608
Phone (706) 485-8495

Other practice location 1

125 Sparta Hwy
Eatonton, GA 31024-6093
Phone (706) 485-8573

Other identifiers 1

IdentifierTypeStateIssuer
000724094FMedicaidGA

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
I20040122000622 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9830091602 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Emergency Group, PCGroup PAC ID 5991051872, 11 clinicians

Practice addresses (Care Compare)

101 Lake Oconee Pkwy
Eatonton, GA 31024-8512
Phone (706) 485-2711

132 Sparta Hwy
Eatonton, GA 31024

132 Sparta Hwy
Eatonton, GA 31024-8492
Phone (706) 485-8495

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam General Hospital Authority CurrentSince Nov 1, 2025 Accepting new patients
Putnam General Hospital Authority CurrentSince Nov 1, 2025 Accepting new patients
Reid Emergency Group, PC CurrentSince Apr 24, 2018 Accepting new patients
Ajay Kumar MD LLC Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients
Nes Georgia, Inc. Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Putnam General Hospital Authority Past Accepting new patients
Putnam General Hospital Authority Past Accepting new patients
Putnam General Hospital Authority Past Accepting new patients
Putnam General Hospital Authority Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients
Putnam County Health Care LLC Past Accepting new patients

Locations

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

132 Sparta Hwy
Eatonton, GA 31024
Phone (706) 485-8495

Interoperability endpoints

  • Direct secure messaging: ajay.kumar@emsc.eclinicaldirectplus.com
  • Direct secure messaging: ajay.kumar@oconeeregional.gadirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/putnamg-b6e19f98
  • FHIR API: https://fhir4.healow.com/fhir/r4/FFIDBA/Endpoint/FFIDBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1073500443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4608",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310244608",
            "telephone_number": "706-485-8495",
            "fax_number": "706-485-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SPARTA HWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310248492",
            "telephone_number": "706-485-8495",
            "fax_number": "706-485-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Sparta Hwy",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310246093",
            "country_code": "US",
            "telephone_number": "706-485-8573",
            "fax_number": "706-485-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000724094F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

Verify at the official NPI Registry.