Individual provider Active NPI

Kashyap B Choksi, M.D.-PH.D.

  • Cardiovascular Disease Physician
  • Thomasville, GA
National Provider Identifier
1508000183
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
076320 Issued in GA
Practice address
116 Mimosa Dr
Thomasville, GA 31792-6605
Phone
(229) 551-0083
Fax
(229) 227-9642
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 BP1-0034934 TX
Cardiovascular Disease Physician 207RC0000X 076320 GA Primary

Addresses

Primary practice location

116 Mimosa Dr
Thomasville, GA 31792-6605

Mailing address

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 551-0083

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kashyapchoksi@ccsg.allscriptsdirect.net

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
I20160819000104 GA Practitioner - Cardiovascular Disease (Cardiology) 4385941285 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0034934TXMDInternal Medicine Physician
076320GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates, P.C. Current Accepting new patients
Grady General Hospital CurrentSince Sep 1, 2016 Accepting new patients
CCSG, Inc. Cardiovascular Disease CurrentSince Aug 1, 2016 Accepting new patients
Hospital Authority of Mitchell County CurrentSince Sep 1, 2016 Accepting new patients
Brooks County Hospital CurrentSince Sep 1, 2016 Accepting new patients
John D Archbold Memorial Hospital Inc CurrentSince Sep 1, 2016 Accepting new patients
Cardiology Consultants of South Georgia, PC Cardiovascular Disease Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1323 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-0283

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

259 US Highway 19 N
Camilla, GA 31730
Phone (229) 227-1229

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

1309 W Screven St
Quitman, GA 31643
Phone (229) 227-5158

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

116 Mimosa Dr
Thomasville, GA 31792
Phone (229) 551-0083

919 S Broad St
Thomasville, GA 31792
Phone (229) 584-5400

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

100 Mimosa Dr
Fl 2
Thomasville, GA 31792
Phone (229) 551-0083

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • Direct secure messaging: kashyapchoksi@ccsg.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCSG, Inc 25 clinicians
John D Archbold Memorial Hospital Inc 58 clinicians

Practice addresses (Care Compare)

100 Mimosa Dr
2ND
Thomasville, GA 31792-6676
Phone (229) 551-0083

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 377-1100

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 551-0083

1309 W Screven St
Quitman, GA 31643-1819
Phone (229) 263-7868

1323 E Shotwell St
Bainbridge, GA 39819-4252
Phone (229) 243-0283

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500

259 US Hwy 19 N
Camilla, GA 31730-1410
Phone (229) 584-5400

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

919 S Broad St
Thomasville, GA 31792-6114
Phone (229) 584-5400

Hospital & facility affiliations

  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Archbold Brooks Hospital, Quitman, GA, CCN 111332
  • Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132
  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1508000183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926605",
            "telephone_number": "229-551-0083",
            "fax_number": "229-227-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926605",
            "telephone_number": "229-551-0083",
            "fax_number": "229-227-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKSI",
        "first_name": "KASHYAP",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.-PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0034934",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "076320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kashyapchoksi@ccsg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "116 Mimosa Dr",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.