Individual provider Active NPI

Jyotir K. Mehta, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Albany, GA
National Provider Identifier
1306830203
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
45887 Issued in GA
Practice address
801 13TH Ave Ste a
Albany, GA 31701-1345
Phone
(229) 436-6688
Fax
(229) 436-0307
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 45887 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 45887 GA Primary

Addresses

Primary practice location

801 13TH Ave Ste a
Albany, GA 31701-1345

Mailing address

2002 Palmyra Rd Ste 101
Albany, GA 31701-1593
Phone (229) 312-5565

Other identifiers 1

IdentifierTypeStateIssuer
00797904AMedicaidGA

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
I20110607000524 GA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2264597079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

120 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

122 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

132 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1593
Phone (229) 438-5864

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

803 N Jefferson St
Albany, GA 31701-2373
Phone (229) 312-7600

804 13TH Ave
Albany, GA 31701-1328
Phone (229) 438-5864

808 13TH Ave
Albany, GA 31701-1328
Phone (229) 883-1208

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • Phoebe Sumter Medical Center Hospital, Americus, GA, CCN 110044
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45887GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Albany Family Practice LLC CurrentSince May 1, 2016 Accepting new patients
Wrightsboro Inpatient Services Past Accepting new patients
Phoebe Putney Memorial Hospital Inc PastSince Mar 23, 2009 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 101
Albany, GA 31701
Phone (229) 432-1440

801 13th Ave
Ste A
Albany, GA 31701
Phone (229) 436-6688

614 N Westover Blvd
Albany, GA 31707
Phone (229) 389-2367

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • Direct secure messaging: jyotir.mehta@phoebehealth.gadirect.net
  • Direct secure messaging: jyotir.mehta.1@8478.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1306830203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 PALMYRA RD STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011593",
            "telephone_number": "229-312-5565",
            "fax_number": "229-312-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 13TH AVE STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011345",
            "telephone_number": "229-436-6688",
            "fax_number": "229-436-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JYOTIR",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "45887",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "45887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797904A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.