Individual provider Active NPI

Asit K Jha, MD

  • Medical Oncology Physician
  • Waycross, GA
National Provider Identifier
1497745632
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
055248 Issued in GA
Practice address
1206 Alice St
Waycross, GA 31501-4525
Phone
(912) 285-1140
Fax
(912) 285-1125
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 055248 GA Primary
Hematology (Internal Medicine) Physician 207RH0000X 055248 GA

Addresses

Primary practice location

1206 Alice St
Waycross, GA 31501-4525

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other identifiers 8

IdentifierTypeStateIssuer
9355145OtherGAAETNA
1251795OtherGAAMERIGROUP
202G708768OtherGAMEDICARE GROUP PTAN
DQ2362OtherGARAILROAD GROUP
52187455OtherGABCBS
286691036GMedicaidGA
286691036IMedicaidGA
490051OtherGAWELLCARE

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
I20050614000612 GA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6305880006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians
SJC Oncology Services - Georgia, LLCGroup PAC ID 8426086901, 26 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Suite B
Vidalia, GA 30474-8759
Phone (912) 454-7012

225 Candler Dr
Suite 100
Savannah, GA 31405-6093
Phone (912) 352-1700

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Bacon County Hospital Hospital, Alma, GA, CCN 111327
  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055248GAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology CurrentSince Apr 1, 2022 Accepting new patients
SJC Oncology Services - Georgia, LLC CurrentSince Jan 6, 2019 Accepting new patients
Satilla Cancer Treatment Centers, LLC Hematology & Oncology Past Accepting new patients

Locations

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

225 Candler Dr
Ste 100
Savannah, GA 31405
Phone (912) 352-1700

1 Meadows Pkwy
Ste B
Vidalia, GA 30474
Phone (912) 454-7012

1206 Alice St
Waycross, GA 31501
Phone (912) 285-1140

1706 Alice St
Waycross, GA 31501
Phone (912) 283-6240

Interoperability endpoints

  • Direct secure messaging: asit.jha@mhs.gadirect.net

Organizations & group practices 3

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 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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1497745632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014525",
            "telephone_number": "912-285-1140",
            "fax_number": "912-285-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHA",
        "first_name": "ASIT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "GA",
            "license": "055248",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "GA",
            "license": "055248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9355145",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1251795",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "202G708768",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "DQ2362",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52187455",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286691036G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286691036I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "490051",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.