Ajay A Acharya, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13819 Issued in MS

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1135

Phone

(352) 376-1611

Fax

(352) 379-4174

NPI assigned

Aug 31, 2006

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

Enrolled in MS

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acharya_ajayananda_md@yourcarecommunity.org

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.

• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment NPD
• Delta Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, MS
  • NPI 1508057076
  NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Madison, MS
  • NPI 1356836118
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1831201862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9454 THREE RIVERS RD",
            "address_2": "STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034294",
            "telephone_number": "228-575-2660",
            "fax_number": "228-863-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611",
            "fax_number": "352-379-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "AJAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aces Therapy Center LLC
• Jennifer Acevedo, PTA
• Jorge Acevedo
• Acg Therapy Center Inc
• Acg Therapy Center, Inc
• Ratna Acharya, MD
• Wilfred W Acholonu Jr., PHARM.D, BCPP
• Begum Acikgoz, D.O.
• Acivics Pharmacy, Inc.
• Anthony Edwin Ackerman, M.D.

• Internal Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.