Individual provider Active NPI

Jignesh N Gandhi, M.D.

  • Interventional Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1225088198
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
047433 Issued in GA
Practice address
1800 Peachtree St NE
Suite 400
Atlanta, GA 30309-1476
Phone
(404) 351-7654
Fax
(404) 609-7605
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 047433 GA Primary

Addresses

Primary practice location

1800 Peachtree St NE
Suite 400
Atlanta, GA 30309-1476

Mailing address

1800 Peachtree St NW Ste 750
Atlanta, GA 30309-2530
Phone (404) 351-7654

Other practice location 1

775 Poplar Rd Ste 200
Newnan, GA 30265-8302
Phone (404) 351-7654

Other practice location 2

1233 Highway 54 W Ste 205
Fayetteville, GA 30214-4542
Phone (404) 351-7654

Other identifiers 1

IdentifierTypeStateIssuer
000838087CMedicaidGA

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
I20040312001193 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5890684260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Pain and Spine Associates, LLC 19 clinicians

Practice addresses (Care Compare)

1101 Old Philadelphia Rd
Suite G
Jasper, GA 30143-4069
Phone (678) 971-4167

1233 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4542
Phone (678) 971-4167

3231 Hwy 34 E
Newnan, GA 30265-6407
Phone (678) 971-4167

601 Broad St SE
Gainesville, GA 30501-3718
Phone (678) 971-4167

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
82.18
Improvement activities
40
Cost
78.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047433GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pca Interventional Spine at Macquarium CurrentSince Oct 23, 2015 Accepting new patients
Southern Pain and Spine Associates, LLC Interventional Pain Medicine CurrentSince Dec 26, 2024 Accepting new patients
Pca Interventional Spine at Fayette, LLC CurrentSince Oct 31, 2024 Accepting new patients
Southern Pain and Spine Associates LLC Interventional Pain Medicine CurrentSince Dec 26, 2024 Accepting new patients
Pain Consultants of Atlanta LLC Interventional Pain Medicine CurrentSince Feb 21, 2003 Accepting new patients
Newnan Surgery Center LLC Past Accepting new patients
Southern Pain and Spine Associates LLC Interventional Pain Medicine PastSince May 16, 2022 Accepting new patients
Pain Specialist Corp. Past Accepting new patients

Locations

2221 Peachtree Rd NE
Ste D647
Atlanta, GA 30309
Phone (407) 583-2046

1800 Peachtree St NW
Ste 750
Atlanta, GA 30309
Phone 40435176541011

1800 Peachtree St NW
Ste 775
Atlanta, GA 30309

2221 Peachtree Rd NE
#D644
Atlanta, GA 30309

1233 Highway 54 W
Ste 205
Fayetteville, GA 30214
Phone 4043517654160

1233 Highway 54 W
Ste 207
Fayetteville, GA 30214

1233 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone 6789714167160

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

3231 Highway 34 E
Ste B
Newnan, GA 30265
Phone (678) 971-4227

775 Poplar Rd
Ste 200
Newnan, GA 30265
Phone (404) 351-1654

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

60 Oak Hill Blvd
Ste 204
Newnan, GA 30265
Phone (678) 633-3350

3579 Highway 138 SE
Ste 204
Stockbridge, GA 30281
Phone (404) 996-9500

Interoperability endpoints

  • Direct secure messaging: jignesh.gandhi.1@22722.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGACD
  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jgandhi@pcasc.gwaydirect.com

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.

Hospital & facility affiliations 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1225088198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092530",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NE",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Poplar Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658302",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 Highway 54 W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144542",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JIGNESH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "047433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000838087C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.