Sushrut LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUSHRUT LLC

Practice address

3778 Highway 42
Locust Grove, GA 30248-3632

Phone

(678) 610-6649

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Nimisha TrivediNPI 1629074299

Title

MD

Phone

(706) 623-0155

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nimisha J Trivedi, MD

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1629074299
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1710710116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 HIGHWAY 42",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483632",
            "telephone_number": "678-610-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3778 HIGHWAY 42",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483632",
            "telephone_number": "678-610-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHRUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "706-623-0155"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Spears
• Tamisha T Spradley
• Jeannine St Paul, RN
• John Michael Stavrinakis, MS, LAT, ATC
• Sushrut LLC
• Hannah Defore Swirsky
• Takle Eye Surgery Center LLC
• Shondria Ja'Net Tarver
• Amanda Taylor
• Darlene M Taylor

• Family Medicine Physician in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.