Individual provider Active NPI

Jairaj Vailoor, M.D.

  • Hospitalist Physician
  • Acworth, GA
National Provider Identifier
1235454745
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
068820 Issued in GA
Practice address
2487 Cedarcrest Rd Ste 714
Acworth, GA 30101-2730
Phone
(678) 224-5730
Fax
(678) 693-7186
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Student in an Organized Health Care Education/Training Program 390200000X GA
Hospitalist Physician 208M00000X 068820 GA Primary
Surgery Physician 208600000X 0116022713 VA
General Practice Physician 208D00000X 068820 GA

Addresses

Primary practice location

2487 Cedarcrest Rd Ste 714
Acworth, GA 30101-2730

Mailing address

6325 Hospital Pkwy
Emory Johns Creek Hospital
Johns Creek, GA 30097-5775
Phone (676) 474-7038

Other practice location 1

6325 Hospital Pkwy
Emory Johns Creek Hospital
Johns Creek, GA 30097-5775
Phone (676) 474-7038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvailoor349429@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170223001643 GA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 7315221082 Reassigns benefits to 2 organizations
I20180212002470 PA Practitioner - HospitalistPractitioner - Family Practice 7315221082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice, Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
May accept Medicare assignment
Group practices
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

Hospital & facility affiliations

  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
  • Higgins General Hospital Hospital, Bremen, GA, CCN 111320
  • Higgins General Hospital Nursing home, CCN 11Z320

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116022713VAMDSurgery Physician
068820GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Hospitalist CurrentSince Dec 31, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 27, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 27, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Apogee Medical Group Georgia Hospitalist CurrentSince May 1, 2021 Accepting new patients
TMC/Villa Rica Hospital, Inc Past Accepting new patients
Tanner Medical Center, Inc Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 7

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 4

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1235454745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "address_2": "EMORY JOHNS CREEK HOSPITAL",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "676-474-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 CEDARCREST RD STE 714",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012730",
            "telephone_number": "678-224-5730",
            "fax_number": "678-693-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Hospital Pkwy",
            "address_2": "Emory Johns Creek Hospital",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300975775",
            "country_code": "US",
            "telephone_number": "676-474-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAILOOR",
        "first_name": "JAIRAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "068820",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116022713",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "068820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvailoor349429@directwellstar.org",
            "affiliation": "N",
            "address_1": "2487 Cedarcrest Rd Ste 714",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301012730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.