Individual provider Active NPI

Rajiv M Tejura, M.D.

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1205065604
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68804 Issued in GA
Practice address
3400 Old Milton Pkwy Ste A510
Alpharetta, GA 30005-3750
Phone
(470) 291-0605
Fax
(470) 297-0418
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 68804 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste A510
Alpharetta, GA 30005-3750

Mailing address

3400 Old Milton Pkwy Ste A510
Alpharetta, GA 30005-3750
Phone (470) 291-0605

Other practice location 1

11315 Johns Creek Pkwy Ste 100
Johns Creek, GA 30097-2645
Phone (470) 632-8160

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
I20150617001794 GA Practitioner - Family Practice 2264743269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center, P.C.Group PAC ID 0840271268, 20 clinicians
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Suite 100
Johns Creek, GA 30097-2645
Phone (470) 632-8160

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

4395 Kimball Bridge Rd
Johns Creek, GA 30022-4409
Phone (470) 681-9400

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, P.C. CurrentSince Apr 15, 2026 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 510
Alpharetta, GA 30005
Phone (770) 475-2233

3400 Old Milton Pkwy
Ste A510
Alpharetta, GA 30005
Phone (470) 291-0605

11315 Johns Creek Pkwy
Ste 100
Johns Creek, GA 30097
Phone (470) 632-8160

Interoperability endpoints

  • Direct secure messaging: rtejura142476@directwellstar.org
  • Direct secure messaging: rajiv.tejura.1@21533.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1205065604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE A510",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053750",
            "telephone_number": "470-291-0605",
            "fax_number": "470-297-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE A510",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053750",
            "telephone_number": "470-291-0605",
            "fax_number": "470-297-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Johns Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972645",
            "country_code": "US",
            "telephone_number": "470-632-8160",
            "fax_number": "470-221-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEJURA",
        "first_name": "RAJIV",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.