Individual provider Active NPI

Yogesh G Goswami, MD

  • Psychiatry Physician
  • Athens, GA
National Provider Identifier
1700970043
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41469 Issued in TN
Practice address
241 Mitchell Bridge Rd
Athens, GA 30606
Phone
(855) 833-9544
NPI assigned
Oct 3, 2006
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 41469 TN Primary

Addresses

Primary practice location

241 Mitchell Bridge Rd
Athens, GA 30606

Mailing address

180 Water Oak Drive
Cedartown, GA 30125
Phone (770) 748-2225

Other practice location 1

180 Water Oak Drive
Cedartown, GA 30125
Phone (770) 748-2225

Other identifiers 1

IdentifierTypeStateIssuer
554639894DMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.advantagebhs.org

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
I20100415000083 GA Practitioner - PsychiatryPractitioner - Neurology 3971501263 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantage Behavioral Health SystemsGroup PAC ID 1052200599, 33 clinicians
Upson County Hospital IncGroup PAC ID 8729075536, 11 clinicians

Practice addresses (Care Compare)

240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone (855) 333-9544

250 Bray St
Athens, GA 30601-2203
Phone 70638967891108

801 W Gordon St
Thomaston, GA 30286-3426
Phone 70664781111330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41469TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Sep 22, 2010 Accepting new patients
Highland Rivers CSB CurrentSince Sep 22, 2010 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Upson County Hospital Inc CurrentSince Nov 21, 2018 Accepting new patients
Upson County Hospital Inc CurrentSince Nov 21, 2018 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Advantage Behavioral Health Systems CurrentSince Jan 6, 2019 Accepting new patients
Zilmed LLC Past Accepting new patients
Zilmed, Inc. PastSince Oct 1, 2014 Accepting new patients
Shubhang Mazumdar MD Past Accepting new patients
Highland Rivers CSB Past Accepting new patients

Locations

240 Mitchell Bridge Rd
Athens, GA 30606
Phone (706) 389-6767

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

200 Wisteria Dr
Gainesville, GA 30501
Phone (770) 219-3800

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1700970043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WATER OAK DRIVE",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "30125",
            "telephone_number": "770-748-2225",
            "fax_number": "770-749-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MITCHELL BRIDGE RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "855-833-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Water Oak Drive",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "30125",
            "country_code": "US",
            "telephone_number": "770-748-2225",
            "fax_number": "770-749-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSWAMI",
        "first_name": "YOGESH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "41469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554639894D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.advantagebhs.org",
            "affiliation": "N",
            "address_1": "241 Mitchell Bridge Rd",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.