Individual provider Active NPI

Abhash Chandra Thakur, MD

  • Cardiovascular Disease Physician
  • Greenwood, MS
National Provider Identifier
1457320129
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18893 Issued in MS
Practice address
102 Professional PL
Greenwood, MS 38930-9633
Phone
(662) 451-7881
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18893 MS Primary

Addresses

Primary practice location

102 Professional PL
Greenwood, MS 38930-9633

Mailing address

PO Box 1410
Attn: Clinic Administration
Greenwood, MS 38935-1410
Phone (662) 459-7285

Other identifiers 2

IdentifierTypeStateIssuer
P00394157OtherMSMEDICARE RAILROAD
04532717MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051031000902 MS Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0345267100 Reassigns benefits to 3 organizations
I20231020001791 GA Practitioner - Cardiovascular Disease (Cardiology) 0345267100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Leflore Hospital CurrentSince May 11, 2013 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Aug 21, 2023 Accepting new patients
Sunder Jagwani MD PA Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 1, 2014 Accepting new patients
The Emory Clinic Inc Cardiovascular Disease CurrentSince Aug 21, 2023 Accepting new patients
Greenwood Leflore Hospital Cardiovascular Disease CurrentSince Sep 1, 2005 Accepting new patients
Central Mississippi Radiology Current Accepting new patients
Emory Health Care Past Accepting new patients
Greenwood Leflore Hospital PastSince Jan 21, 2022 Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Hospitalist Medicine Physicians of Mississippi, LLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

7813 Spivey Station Blvd
Jonesboro, GA 30236
Phone (404) 251-2270

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

102 Professional Pl
Greenwood, MS 38930
Phone (662) 451-7881

1401 River Rd
Fl 2
Greenwood, MS 38930
Phone (662) 451-7881

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

Interoperability endpoints

  • Direct secure messaging: abhash.thakur@scs-direct.glh.org

Organizations & group practices 11

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 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1457320129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "address_2": "ATTN: CLINIC ADMINISTRATION",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410",
            "telephone_number": "662-459-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PL",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389309633",
            "telephone_number": "662-451-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "ABHASH",
        "middle_name": "CHANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "18893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00394157",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04532717",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.