Individual provider Active NPI

Gitika Aggarwal, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Evans, GA
National Provider Identifier
1568624252
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
002940 Issued in GA
Practice address
340 N Belair Rd
Evans, GA 30809-3000
Phone
(706) 868-5676
Fax
(706) 722-2824
NPI assigned
Jun 25, 2008
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 002940 GA Primary

Addresses

Primary practice location

340 N Belair Rd
Evans, GA 30809-3000

Mailing address

282 Stonington Dr
Martinez, GA 30907-1806
Phone (414) 736-5919

Other practice location 1

282 Stonington Dr
Martinez, GA 30907-1806
Phone (414) 736-5919

Other identifiers 1

IdentifierTypeStateIssuer
003205289AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130628000785 GA Practitioner - Pathology 4981844677
I20180117002337 SC Practitioner - Pathology 4981844677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Gastroenterology and Hepatology PAGroup PAC ID 0547200578, 5 clinicians

Practice addresses (Care Compare)

103 Gregg Ave NW
Suite 100
Aiken, SC 29801-3097
Phone (803) 226-9786

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002940GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC CurrentSince Jun 1, 2018 Accepting new patients
Augusta ENT PC CurrentSince Jun 1, 2018 Accepting new patients
Augusta ENT PC Current Accepting new patients
Palmetto Gastroenterology & Hepatology, PA CurrentSince Nov 27, 2017 Accepting new patients
Palmetto Health Services Associates LLC PastSince Dec 27, 2016 Accepting new patients
Georgia Health Sciences University Past Accepting new patients

Locations

720 Saint Sebastian Way
Ste 201
Augusta, GA 30901
Phone (478) 746-7577

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

103 Gregg Ave NW
Aiken, SC 29801
Phone (803) 226-0799

103 Gregg Ave NW
Ste 100
Aiken, SC 29801
Phone (803) 226-0799

Interoperability endpoints

  • Direct secure messaging: gaggarwal@augustaent.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1568624252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 STONINGTON DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071806",
            "telephone_number": "414-736-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Stonington Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309071806",
            "country_code": "US",
            "telephone_number": "414-736-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "GITIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "002940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003205289A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.