Jyothi N Mattam, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

050657 Issued in GA

Practice address

3582 Old Milton Pkwy
Alpharetta, GA 30005-4465

Phone

(770) 225-3000

Fax

(770) 225-3001

NPI assigned

Mar 9, 2007

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 names 1

• Jyothi N Dhupam Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyothimattam@tdh.allscriptsdirect.net

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.

• North Atlanta Psychiatry

  • Neurology Physician
  • Alpharetta, GA
  • NPI 1114177631
  Medicare reassignment NPD Authorized official
• Georgia Mountains Community Services

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1063522035
  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD
• Around Atlanta Psychotherapy Concepts, LLC

  • Community/Behavioral Health Agency
  • Covington, GA
  • NPI 1821497603
  NPD (past)
• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  dba West Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1306978929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 AMAWALK CIR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971920",
            "telephone_number": "770-225-3000",
            "fax_number": "770-225-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3582 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054465",
            "telephone_number": "770-225-3000",
            "fax_number": "770-225-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAM",
        "first_name": "JYOTHI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "050657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JYOTHI",
            "last_name": "DHUPAM",
            "middle_name": "N",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nia Massey
• Marlea Mastricola, RD
• Preena Mathew
• Michelle Renee Mathieson, DMD, MSD
• Meghan Mathis, OTR/L
• Cierra Matthews, BCBA
• Curtis Matthews
• Eliza Matthews
• Niedra Mattox
• Katherine Holt Mawhinney, AU.D.

• Psychiatry Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.