Individual provider Active NPI

Jayanti Jasti, M.D.,

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1487619045
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
056180 Issued in GA
Practice address
595 Hurricane Shoals Rd NW
Suite 100
Lawrenceville, GA 30046
Phone
(404) 645-7150
Fax
(770) 339-4797
NPI assigned
Apr 18, 2006
Last updated
May 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 056180 GA
Nephrology Physician 207RN0300X 056180 GA Primary

Addresses

Primary practice location

595 Hurricane Shoals Rd NW
Suite 100
Lawrenceville, GA 30046

Mailing address

595 Hurricane Shoals Rd NW
Suite 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150

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
I20050929000903 GA Practitioner - NephrologyPractitioner - Internal Medicine 7012942873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Nephrology, LLCGroup PAC ID 4082606496, 29 clinicians

Practice addresses (Care Compare)

1550 Buford Hwy
Suite 1 E
Buford, GA 30518-3666
Phone (404) 645-7150

497 Winn Way
Suite A210
Decatur, GA 30030-1712
Phone (404) 294-7033

595 Hurricane Shoals Rd NW
Suite 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150

6335 Hospital Pkwy
Suite 208
Johns Creek, GA 30097-1551
Phone (404) 645-7150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Nephrology, LLC Nephrology CurrentSince Aug 1, 2014 Accepting new patients
Nephrology Medical Associates of Georgia LLC Nephrology Past Accepting new patients

Locations

1550 Buford Hwy
Ste 1E
Buford, GA 30518
Phone (404) 645-7150

911 Market Place Blvd
Ste 3
Cumming, GA 30041
Phone (678) 513-6486

497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

6335 Hospital Pkwy
Ste 102
Johns Creek, GA 30097
Phone (770) 339-4225

6335 Hospital Pkwy
Ste 208
Johns Creek, GA 30097
Phone (404) 645-7150

1705 Belle Meade Ct
Ste 110
Lawrenceville, GA 30043
Phone (770) 513-2833

575 Professional Dr
Ste 250
Lawrenceville, GA 30046
Phone (770) 962-3881

595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150

2096 McGee Rd
Snellville, GA 30078
Phone (678) 990-5260

Interoperability endpoints

  • Direct secure messaging: jjasti12419@direct.acumenmd.com

Organizations & group practices 2

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 7

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1487619045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468762",
            "telephone_number": "404-645-7150",
            "fax_number": "770-339-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "404-645-7150",
            "fax_number": "770-339-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTI",
        "first_name": "JAYANTI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056180",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "056180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.