Jayesh Bharat Bodalia, AA
Individual provider Active NPI Anesthesiologist Assistant · Savannah, GA
NPI 1073654471 · NPPES record last updated Jan 16, 2016
Key facts
- NPI
- 1073654471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 004917 (GA)
- Practice address
- 4700 Waters Ave
Savannah, GA 31404-6220 - Phone
- (912) 354-3510
- Fax
- (912) 356-3391
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alta Anesthesia Associates of Georgia, PC
Piedmont Anesthesia LLC
American Anesthesiology Associates of Georgia LLC
Practice addresses (Care Compare)
3100 Kemble Ave
Brunswick, GA 31520-4211
Phone (880) 233-2570
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 746-7577
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-6000
Hospital & facility affiliations
- Southeast Georgia Health System- Brunswick Campus
- Coliseum Medical Centers, LLC, Dba
- Piedmont Macon North Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070427000336 | GA | Practitioner - Anesthesiology Assistant | 1951407568 | Reassigns benefits to 7 organizations |
| I20171002000623 | SC | Practitioner - Anesthesiology Assistant | 1951407568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004917 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current |
Accepting new patients | |
| Piedmont Anesthesia LLC | Current |
Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current |
Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current |
Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Current |
Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Anesthesiologist Assistant | Current |
Accepting new patients |
| SE Georgia Anesthesia, LLC | Current |
Accepting new patients | |
| Low Country Anesthesia, PA | Current |
Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current |
Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930
3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
1139 Lexington Ave
Ste B
Savannah, GA 31404
Phone (912) 303-4200
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
13040 Abercorn St
Ste 2
Savannah, GA 31419
Phone (912) 920-1998
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 004917 | GA | Yes |
Addresses
Primary practice location
4700 Waters Ave
Savannah, GA 31404-6220
Mailing address
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 354-3510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206121990A | Medicaid | GA | |
| CK6241 | Other | GA | MEDICARE RAILROAD |
Other providers in Savannah, GA
- Deidre Ann Boatright
- Julie Owens Boatright
- Samuel Augustin Boatright
- Daniel A. Bochner
- Henry Bochner
- Body by Lux
- Richard Allan Bodziner
- Charlie Bogardus
- Darby Boggs
- Taylor Boggus
All providers in Savannah, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.