Jayasri Mallavarapu, M.D., M.P.H.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

061288 Issued in GA

Practice address

1614 Peachtree Pkwy
Suite 200
Cumming, GA 30041-6883

Phone

(678) 455-2295

Fax

(678) 455-2279

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8232/brand/1/csg/1/fhir/r4
• Direct secure messaging: jayasri.mallavarapu.1@8232.direct.athenahealth.com

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.

• Commonwealth Primary Care

  • Primary Care Clinic/Center
  • Cumming, GA
  • NPI 1982033411

  GA

  Medicare reassignment NPD Authorized official
• Chestatee Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Dahlonega, GA
  • NPI 1366474777
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1235309469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 PEACHTREE PKWY",
            "address_2": "SUITE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416883",
            "telephone_number": "678-455-2295",
            "fax_number": "678-455-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 PEACHTREE PKWY",
            "address_2": "SUITE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416883",
            "telephone_number": "678-455-2295",
            "fax_number": "678-455-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAVARAPU",
        "first_name": "JAYASRI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235309469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157049240C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magnolia Pharmacy Services
• Swati Mahajan, MD
• Sitwat Mahmood
• Malcolm M Traxler Jr MD PC
• Malcolm P. Dulock, MD
• Pauline Elizabeth Mallcott, M.A., CCC-A
• Madison Malloy
• Leah Maloof
• Mehak Manani, PA
• Charlei-Jane Mangano

• All providers in Cumming, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.