Active NPI
Jaydev Ranchodji Varma, MD
- General Practice Physician
- Suwanee, GA
National Provider Identifier
1235355058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19356
- Practice address
- 6430 Olde Atlanta Pkwy
Suwanee, GA 30024-4258 - Phone
- (678) 947-8459
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19356 | GA | Primary |
Addresses
Primary practice location
6430 Olde Atlanta Pkwy
Suwanee, GA 30024-4258
Mailing address
6430 Olde Atlanta Pkwy
Suwanee, GA 30024-4258
Phone (678) 947-8459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19356 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235355058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 OLDE ATLANTA PKWY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244258",
"telephone_number": "678-947-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6430 OLDE ATLANTA PKWY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244258",
"telephone_number": "678-947-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARMA",
"first_name": "JAYDEV",
"middle_name": "RANCHODJI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "19356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.