Individual provider Active NPI

Jyoti Gharge, MD

  • Physical Medicine & Rehabilitation Physician
  • McDonough, GA
National Provider Identifier
1720015027
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
055750 Issued in GA
Practice address
2200 Patrick Henry Pkwy
McDonough, GA 30253-4207
Phone
(817) 284-9850
Fax
(817) 284-9859
NPI assigned
Jun 26, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 055750 GA Primary

Addresses

Primary practice location

2200 Patrick Henry Pkwy
McDonough, GA 30253-4207

Mailing address

1909 Aberdeen Rd
Suite 104
Albany, GA 31701
Phone (229) 430-7256

Other identifiers 2

IdentifierTypeStateIssuer
52187050002OtherGABCBS
430070034AMedicaidGA

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
I20050608000830 GA Practitioner - Physical Medicine and Rehabilitation 9537061502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055750GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GS Health Services LLC Physical Medicine & Rehabilitation CurrentSince Jul 4, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. Past Accepting new patients
Point Pleasant Physician Billing Services PastSince May 4, 2015 Accepting new patients
Jyoti Gharge MD PC Physical Medicine & Rehabilitation PastSince Mar 8, 2005 Accepting new patients

Locations

2200 Patrick Henry Pkwy
McDonough, GA 30253
Phone (470) 713-2000

Organizations & group practices 4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1720015027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 104",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-430-7256",
            "fax_number": "229-430-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PATRICK HENRY PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534207",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARGE",
        "first_name": "JYOTI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "055750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52187050002",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430070034A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.