Individual provider Active NPI

Jyoti Sharma, MD

  • Nephrology Physician
  • Austell, GA
National Provider Identifier
1447213707
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
054034 Issued in GA
Practice address
1810 Mulkey Rd Ste 103
Austell, GA 30106-1132
Phone
(770) 732-8464
Fax
(770) 732-8462
NPI assigned
Apr 8, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 054034 GA Primary

Addresses

Primary practice location

1810 Mulkey Rd Ste 103
Austell, GA 30106-1132

Mailing address

1810 Mulkey Rd Ste 103
Austell, GA 30106-1132
Phone (770) 732-8464

Other practice location 1

1899 Lake Rd Ste 111
Hiram, GA 30141-2292
Phone (770) 732-8464

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
I20031215000319 GA Practitioner - NephrologyPractitioner - Internal Medicine 4486551942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Kidney and Hypertension AssociatesGroup PAC ID 6608889043, 3 clinicians

Practice addresses (Care Compare)

1810 Mulkey Rd
Suite 103
Austell, GA 30106-1132
Phone (770) 732-8464

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Kidney and Hypertension Associates Nephrology CurrentSince Sep 15, 2006 Accepting new patients

Locations

1700 Hospital South Dr
Ste 304
Austell, GA 30106
Phone (770) 732-8464

1810 Mulkey Rd
Ste 103
Austell, GA 30106
Phone (770) 732-8464

1899 Lake Rd
Ste 111
Hiram, GA 30141
Phone (770) 732-8464

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3666/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jyoti.sharma.1@3666.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1447213707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 103",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061132",
            "telephone_number": "770-732-8464",
            "fax_number": "770-732-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 103",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061132",
            "telephone_number": "770-732-8464",
            "fax_number": "770-732-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1899 Lake Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412292",
            "country_code": "US",
            "telephone_number": "770-732-8464",
            "fax_number": "770-732-8462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "JYOTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "054034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.