Individual provider Active NPI

Jyoti Manekar, M.D.

  • Family Medicine Physician
  • Duluth, GA
National Provider Identifier
1417980558
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57099 Issued in GA
Practice address
3790 Pleasant Hill Rd Ste 250
Duluth, GA 30096-5150
Phone
(678) 312-6200
Fax
(678) 312-6226
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57099 GA Primary

Addresses

Primary practice location

3790 Pleasant Hill Rd Ste 250
Duluth, GA 30096-5150

Mailing address

3790 Pleasant Hill Rd Ste 250
Duluth, GA 30096-5150
Phone (678) 312-6200

Other identifiers 8

IdentifierTypeStateIssuer
577079261BMedicaidGA
7144975OtherGAAETNA
5240401P01OtherGACIGNA
793647OtherGAHUMANA
2653535OtherGAUNITED HEALTH CARE
332767OtherGAWELLCARE OF GEORGIA
08CBCNJOtherGAMEDICARE PART B
52209884-001OtherGABCBS OF GEORGIA

Other names 1

  • Dr. Jyoti Madhukarrao Naikude Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmanekar29384@nghs.gadirect.net Direct

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
I20070124000335 GA Practitioner - Family Practice 0244231983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1100 Johnson Ferry Rd
Suite 410
Atlanta, GA 30342-1709
Phone (404) 847-0664

3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone (404) 250-6691

470 Northside Cherokee Blvd
Canton, GA 30115-8029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57099GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Northeast Georgia Physicians Group Urgent Care LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195

470 Northside Cherokee Blvd
Ste 170
Canton, GA 30115
Phone (770) 721-9540

3790 Pleasant Hill Rd
Ste 250
Duluth, GA 30096
Phone (678) 312-6200

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 3

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 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1417980558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 PLEASANT HILL RD STE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965150",
            "telephone_number": "678-312-6200",
            "fax_number": "678-312-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 PLEASANT HILL RD STE 250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965150",
            "telephone_number": "678-312-6200",
            "fax_number": "678-312-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEKAR",
        "first_name": "JYOTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "57099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577079261B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7144975",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5240401P01",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "793647",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2653535",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GEORGIA",
            "identifier": "332767",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "08CBCNJ",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "52209884-001",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmanekar29384@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4919 Atlanta Hwy",
            "city": "Flowery Branch",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305423328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JYOTI",
            "last_name": "NAIKUDE",
            "middle_name": "MADHUKARRAO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.