Individual provider Active NPI

Sarvepalli Jokhai

  • Podiatrist
  • Perry, GA
National Provider Identifier
1831260041
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000829 Issued in GA
Practice address
1040 Morningside Dr
Perry, GA 31069-2904
Phone
(478) 475-1299
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000829 GA Primary

Addresses

Primary practice location

1040 Morningside Dr
Perry, GA 31069-2904

Mailing address

PO Box 6007
Warner Robins, GA 31095-6007
Phone (478) 929-0036

Other identifiers 1

IdentifierTypeStateIssuer
000823941FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000829GAMDPodiatrist
829GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Surgical Centers, Inc Podiatrist Past Accepting new patients

Organizations & group practices 1

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1831260041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6007",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956007",
            "telephone_number": "478-929-0036",
            "fax_number": "478-929-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692904",
            "telephone_number": "478-475-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKHAI",
        "first_name": "SARVEPALLI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000823941F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.