Individual provider Active NPI

Janaki Nadarajah, DPM

  • Podiatrist
  • Martinez, GA
National Provider Identifier
1831288018
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000941 Issued in GA
Practice address
462 Furys Ferry Rd
Martinez, GA 30907-9506
Phone
(706) 868-0319
Fax
(706) 868-3719
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000941 GA Primary

Addresses

Primary practice location

462 Furys Ferry Rd
Martinez, GA 30907-9506

Mailing address

462 Furys Ferry Rd
Martinez, GA 30907-9506
Phone (706) 868-0319

Other identifiers 3

IdentifierTypeStateIssuer
000935261DMedicaidGA
339452OtherGAWELLCARE
GPD941MedicaidSC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000260 GA Practitioner - Podiatry 2264462464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Podiatry CareGroup PAC ID 8022048222, 6 clinicians

Practice addresses (Care Compare)

462 Furys Ferry Rd
Martinez, GA 30907-9506
Phone (706) 868-0319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue75
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000941GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Podiatry Care Podiatrist CurrentSince Mar 19, 2005 Accepting new patients
Augusta University Past Accepting new patients

Locations

629 Ronald Reagan Dr
Ste C
Evans, GA 30809
Phone (706) 739-0020

462 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 868-0319

Interoperability endpoints

  • Direct secure messaging: aiyandiabetescenter.janakinadarajah@156247.advancedmd-direct.com

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1831288018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 FURYS FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079506",
            "telephone_number": "706-868-0319",
            "fax_number": "706-868-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 FURYS FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079506",
            "telephone_number": "706-868-0319",
            "fax_number": "706-868-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADARAJAH",
        "first_name": "JANAKI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935261D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "339452",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPD941",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.