Active NPI
Ashish Maheshkumar Bhakta, MD
- Family Medicine Physician
- Jackson, TN
National Provider Identifier
1598021867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53386
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 541-5000
- NPI assigned
- Apr 11, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53386 | TN | Primary |
| Emergency Medicine Physician | 207P00000X | 53386 | TN |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
13 Alderbrook LN
Jackson, TN 38305-1882
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
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1360 S Main St
Ellijay, GA 30540-5410
Phone (706) 635-5111
Hospital & facility affiliations
- Piedmont Mountainside Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53386 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT University Medical Associates Inc | Family Medicine | Current | Accepting new patients |
Locations
294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Jackson, TN
- NPI 1023572344
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1598021867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 ALDERBROOK LN",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-541-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "ASHISH",
"middle_name": "MAHESHKUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "53386",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "53386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.