Individual provider Active NPI

Manishkumar Rajanikant Joshi, MD

  • Emergency Medicine Physician
  • Macon, GA
National Provider Identifier
1427047422
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
056628 Issued in GA
Practice address
3400 Riverside Dr
Macon, GA 31210-2513
Phone
(478) 474-5600
Fax
(478) 471-6769
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 056628 GA Primary

Addresses

Primary practice location

3400 Riverside Dr
Macon, GA 31210-2513

Mailing address

3400 Riverside Dr
Macon, GA 31210-2513
Phone (478) 474-5600

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
I20050901000716 GA Practitioner - Family Practice 5496787178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
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)

1390 US Hwy 19 S
Leesburg, GA 31763-4831
Phone (229) 312-7490

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

2000 Palmyra Rd
Albany, GA 31701-1528
Phone (229) 312-6711

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

2336 Dawson Rd
Suite 1600
Albany, GA 31707-2801
Phone (229) 312-8750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056628GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Central Georgia Inc CurrentSince Jan 1, 2019 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2336 Dawson Rd
Albany, GA 31707
Phone (229) 312-8700

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

2336 Dawson Rd
Ste 1600
Albany, GA 31707
Phone (229) 312-8750

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

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

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

Interoperability endpoints

  • Direct secure messaging: manishkumar.joshi@phoebehealth.gadirect.net
  • Direct secure messaging: manishkumar.joshi.1@8478.direct.athenahealth.com
  • Direct secure messaging: mjoshi433613@carolinashealthcaresystem.direct-ci.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 2

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1427047422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102513",
            "telephone_number": "478-474-5600",
            "fax_number": "478-471-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102513",
            "telephone_number": "478-474-5600",
            "fax_number": "478-471-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "MANISHKUMAR",
        "middle_name": "RAJANIKANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "056628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.