Individual provider Active NPI

Tarun Kumar Ghosh, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1760560726
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048896 Issued in GA
Practice address
535 Coliseum Dr
Macon, GA 31217-0104
Phone
(478) 803-7300
Fax
(478) 803-7532
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048896 GA Primary

Addresses

Primary practice location

535 Coliseum Dr
Macon, GA 31217-0104

Mailing address

657 Hemlock St
220
Macon, GA 31201-8329
Phone (478) 741-7241

Other identifiers 1

IdentifierTypeStateIssuer
00872176AMedicaidGA

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
I20040826001009 GA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8426023102 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048896GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jul 7, 2013 Accepting new patients
Hightower Physician Services, PC CurrentSince May 21, 2022 Accepting new patients
24 On Physicians, PC CurrentSince Mar 1, 2013 Accepting new patients
24 On Physicians, P.C. CurrentSince Mar 1, 2013 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2011 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jun 8, 2017 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
Au Medical Associates Inc CurrentSince Jul 7, 2013 Accepting new patients
Hospital Specialists, PC Internal Medicine Past Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

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

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1760560726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST",
            "address_2": "220",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018329",
            "telephone_number": "478-741-7241",
            "fax_number": "478-745-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312170104",
            "telephone_number": "478-803-7300",
            "fax_number": "478-803-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "TARUN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872176A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.