Pooja Kamboj, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

96851 Issued in GA

Practice address

2084 Headland Dr
East Point, GA 30344-2135

Phone

(404) 965-5691

Fax

(404) 698-1478

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• PMR Georgia Holding, LLC

  dba Jencare Neighborhood Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630

  GA

  Medicare reassignment NPD
• Jencare Neighborhood Medical Center West End, LLC

  • Specialist
  • Atlanta, GA
  • NPI 1366783524
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1790308955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691",
            "fax_number": "404-698-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691",
            "fax_number": "404-698-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBOJ",
        "first_name": "POOJA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "96851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemia Elaine Jones, M.S. CCC-SLP
• Melissa Gail Jones, CNM
• Debra Elaine Jordan, D.O.
• Jeremie Josaphat
• Lacell Alexis Joseph, LPC
• Iva Joyce Katon-Benitez, PA
• Jasmine Kendrick
• Jaime Kim, DDS
• Sharon Diane King, NP-C
• Kingsley Agbeyegbe MD

• Family Medicine Physician in East Point, GA
• Providers in East Point, 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 Sep 19, 2023; 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.

Verify at the official NPI Registry.