Active NPI
Asit K Jha, MD
- Medical Oncology Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 055248
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9355145 | Other | GA | AETNA |
| 1251795 | Other | GA | AMERIGROUP |
| 202G708768 | Other | GA | MEDICARE GROUP PTAN |
| DQ2362 | Other | GA | RAILROAD GROUP |
| 52187455 | Other | GA | BCBS |
| 286691036G | Medicaid | GA | |
| 286691036I | Medicaid | GA | |
| 490051 | Other | GA | WELLCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Memorial Satilla Health
- Wayne Memorial Hospital
- Candler Hospital
- Bacon County Hospital
- Coffee Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055248 | GA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Oncology Partners PA | Hematology | Current | Accepting new patients |
| SJC Oncology Services - Georgia, LLC | Current | 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
- 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.
-
- Radiation Oncology Physician
- Savannah, GA
- NPI 1710196589
-
- Hematology & Oncology Physician
- Waycross, GA
- NPI 1700026606
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waycross, GA
- NPI 1316120322
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Douglas, GA
- NPI 1760419527
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.