Mayuri Ashok Bhakta, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN168372 Issued in GA

Practice address

11460 Johns Creek Pkwy
Johns Creek, GA 30097-1518

Phone

(678) 415-2406

Fax

(678) 415-3120

NPI assigned

Apr 1, 2008

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Gwinnett Emergency Specialists Observation Services, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1720373129
  NPD (past)
• Gwinnett Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1437346467
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1487826269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 STAMP MILL CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972406",
            "telephone_number": "770-826-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 JOHNS CREEK PKWY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971518",
            "telephone_number": "678-415-2406",
            "fax_number": "678-415-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300457694",
            "country_code": "US",
            "telephone_number": "678-312-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "MAYURI",
        "middle_name": "ASHOK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN168372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Michele Bernabe
• Kaylin J Berry
• Amy B. Berss, M.A., CCC-SLP
• Kiara Best
• Better Spine Better Health, LLC
• Rupesh Kiran Bhakta, O.D.
• Minakshi Bhardwaj
• Kapil Dinesh Bhatia, MD
• Saterah Milik Bigham
• BNB Wellness LLC (Body In Balance)

• Family Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.