Individual provider Active NPI

Archana Jayan, BPT

  • Orthopedic Physical Therapist
  • Norcross, GA
National Provider Identifier
1386941391
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT010184 Issued in GA
Practice address
5245 Buford Hwy
Ste 103/104
Norcross, GA 30071-2654
Phone
(770) 449-5152
Fax
(770) 449-5154
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT010184 GA Primary

Addresses

Primary practice location

5245 Buford Hwy
Ste 103/104
Norcross, GA 30071-2654

Mailing address

5245 Buford Hwy
Ste 103/104
Norcross, GA 30071-2654
Phone (770) 449-5152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000493 GA Practitioner - Physical Therapist in Private Practice 8022294172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

1100 Reinhardt College Pkwy
Canton, GA 30114-2011
Phone (770) 721-2812

12300 Morris Rd
Alpharetta, GA 30005-4584
Phone (678) 740-3499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc. CurrentSince Mar 15, 2014 Accepting new patients
The Weston Group Inc. Orthopedic CurrentSince Mar 15, 2014 Accepting new patients
Johns Creek Physical Therapy Orthopedic CurrentSince May 22, 2017 Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

125 Riverstone Ter
Canton, GA 30114
Phone (770) 479-0472

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

4060 Johns Creek Pkwy
Ste H
Suwanee, GA 30024
Phone (770) 622-5344

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1386941391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 BUFORD HWY",
            "address_2": "STE 103/104",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712654",
            "telephone_number": "770-449-5152",
            "fax_number": "770-449-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 BUFORD HWY",
            "address_2": "STE 103/104",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712654",
            "telephone_number": "770-449-5152",
            "fax_number": "770-449-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAN",
        "first_name": "ARCHANA",
        "credential": "BPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT010184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.