Active NPI
Jyoti Gharge, MD
- Physical Medicine & Rehabilitation Physician
- McDonough, GA
National Provider Identifier
1720015027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 055750
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52187050002 | Other | GA | BCBS |
| 430070034A | Medicaid | GA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000830 | GA | Practitioner - Physical Medicine and Rehabilitation | 9537061502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055750 | GA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GS Health Services LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Past | Accepting new patients | |
| Point Pleasant Physician Billing Services | Past | Accepting new patients | |
| Jyoti Gharge MD PC | Physical Medicine & Rehabilitation | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- McDonough, GA
- NPI 1962189340
-
- Physical Medicine & Rehabilitation Physician
- Albany, GA
- NPI 1932133709
-
- Multi-Specialty Clinic/Center
- PT Pleasant, WV
- NPI 1396798898
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
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
- Georgia Dna Paternity Solutions LLC
- Georgia Institute of Speech and Language
- Georgia Primary Care Partners, LLC
- Georgia Speech & Rehab Services, LLC
- Daniel Mark Gerhardt, D.C.
- Page Gibson
- Gifted Speech Therapy Services, Inc
- Gifted Therapy Services, LLC
- Bennecia Gilbert, CRC, NCC, LPC
- Edgar H. Gilchrist Jr., DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.