NPIMap

Organization Active NPI

Bhavin H. Jani MD PC

  • Primary Care Clinic/Center
  • Monroe, GA
National Provider Identifier
1407947740
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
044496 Issued in GA
Legal business name
BHAVIN H. JANI MD PC
Practice address
868 Michael Etchison Rd
Suite a
Monroe, GA 30655-8204
Phone
(770) 207-1316
Fax
(770) 783-8972
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. Bhavin H Jani, MDNPI 1346337227
Title
Physician
Phone
(770) 207-1316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 044496 GA Primary

Addresses

Primary practice location

868 Michael Etchison Rd
Suite a
Monroe, GA 30655-8204

Mailing address

868 Michael Etchison Rd
Suite a
Monroe, GA 30655-8204
Phone (770) 207-1316

Other identifiers 1

IdentifierTypeStateIssuer
00768996AMedicaidGA

Other names 1

  • BHAVIN H. JANI MD PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000846 GA Part B Supplier - Clinic/Group Practice 9830184688 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1407947740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 MICHAEL ETCHISON RD",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558204",
            "telephone_number": "770-207-1316",
            "fax_number": "770-217-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 MICHAEL ETCHISON RD",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558204",
            "telephone_number": "770-207-1316",
            "fax_number": "770-783-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAVIN H. JANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "BHAVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-207-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "044496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00768996A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHAVIN H. JANI MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.