Suvrat Jagannivas Bhargave, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

047297 Issued in GA

Practice address

120 Handley Rd
Suite 310
Tyrone, GA 30290-2177

Phone

(770) 486-1011

Fax

(770) 486-1067

NPI assigned

Aug 18, 2005

Reactivated

Mar 28, 2006

Last updated

Mar 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Suvrat J Bhargave MD PC

  • Psychiatry Physician
  • Tyrone, GA
  • NPI 1952433864
  NPD (past) Authorized official
• Center for Family Psychiatry

  • Professional Counselor
  • Tyrone, GA
  • NPI 1841379740
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1720070501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD",
            "address_2": "SUITE 310",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902177",
            "telephone_number": "770-486-1011",
            "fax_number": "770-486-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD",
            "address_2": "SUITE 310",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902177",
            "telephone_number": "770-486-1011",
            "fax_number": "770-486-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARGAVE",
        "first_name": "SUVRAT",
        "middle_name": "JAGANNIVAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-03-30",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "047297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Monique Baltazar
• Peter John Bauth, DC, LCP
• Melissa Beckman, MFT
• Jeffrey Thomas Benz, DMD
• Best Choice Home Healthcare Agency Atlanta
• Mishaya Bivins, RBT
• Joy Theresa Blumberg, NP-C
• Born Educators Academy
• Robin Celeste Boullion
• Sykie Bradwell

• Specialist in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.