Individual provider Active NPI

Ahmad K Jingo, MD

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1467416602
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045842 Issued in GA
Practice address
3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone
(404) 968-8269
Fax
(404) 968-8274
NPI assigned
Apr 14, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045842 GA Primary

Addresses

Primary practice location

3424 Flat Shoals Rd
Decatur, GA 30034-6525

Mailing address

3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone (404) 968-8269

Other identifiers 1

IdentifierTypeStateIssuer
00804339DMedicaidGA

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
I20070723000248 GA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pain Management 7517068414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
Morehouse School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Family Physicians PCGroup PAC ID 7012074917, 3 clinicians

Practice addresses (Care Compare)

3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone (404) 968-8269

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
045842GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Family Physicians PC CurrentSince Sep 1, 1999 Accepting new patients
RST Medical Group CurrentSince Apr 1, 2016 Accepting new patients
Janah Enterprises Inc Internal Medicine PastSince Jun 1, 2007 Accepting new patients
Atlanta Health Unlimited Past Accepting new patients

Locations

3424 Flat Shoals Rd
Decatur, GA 30034
Phone (404) 241-5304

4150 Snapfinger Woods Dr
Ste 208
Decatur, GA 30035
Phone (404) 422-0027

Interoperability endpoints

  • Direct secure messaging: ajingo@afp-ga.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1467416602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 FLAT SHOALS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346525",
            "telephone_number": "404-968-8269",
            "fax_number": "404-968-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 FLAT SHOALS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346525",
            "telephone_number": "404-968-8269",
            "fax_number": "404-968-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINGO",
        "first_name": "AHMAD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804339D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.