Individual provider Active NPI

Jaya Bindu Merugu, MD

  • Psychiatry Physician
  • Aiken, SC
National Provider Identifier
1093979809
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34349 Issued in SC
Practice address
655 Medical Park Dr
Aiken, SC 29801-6415
Phone
(803) 641-5900
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34349 SC Primary

Addresses

Primary practice location

655 Medical Park Dr
Aiken, SC 29801-6415

Mailing address

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5900

Other identifiers 2

IdentifierTypeStateIssuer
343499MedicaidSC
003141004BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120904000271 SC Practitioner - Psychiatry 9234386863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Hill Mental Health Center, IncGroup PAC ID 0648259887, 6 clinicians

Practice addresses (Care Compare)

1 Havenwood LN
Travelers Rest, SC 29690-9680
Phone (864) 834-8013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Mental Health Center, Inc. Psychiatry CurrentSince Aug 1, 2017 Accepting new patients
Aiken Regional Medical Centers LLC Current Accepting new patients
Chestnut Hill Mental Health Center, Inc CurrentSince Aug 1, 2017 Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

655 Medical Park Dr
Aiken, SC 29801
Phone (803) 641-5900

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1093979809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016302",
            "telephone_number": "803-641-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016415",
            "telephone_number": "803-641-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERUGU",
        "first_name": "JAYA",
        "middle_name": "BINDU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "34349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343499",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141004B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.