Active NPI
Ajay M Kothari MD LLC
- Neurology Physician
- Americus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 26984
- Legal business name
- AJAY M KOTHARI MD LLC
- Practice address
- 136 S Lee St Ste a
Americus, GA 31709-3698 - Phone
- (229) 380-0266
- Fax
- (229) 380-0267
- NPI assigned
- Jul 30, 2012
- Last updated
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ajay Maheshchandra Kothari, M.D
- Title
- Physician
- Phone
- (229) 942-9534
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 26984 | GA | Primary |
Addresses
Primary practice location
136 S Lee St Ste a
Americus, GA 31709-3698
Mailing address
109 Morningside Drive
Americus, GA 31709
Phone (229) 942-9534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00075963G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
136 S Lee St
Ste A
Americus, GA 31709
Phone (229) 380-0266
138 S Lee St
Ste A
Americus, GA 31709
Phone (229) 380-0255
910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Americus, GA
- NPI 1568473551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1831445634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MORNINGSIDE DRIVE",
"city": "AMERICUS",
"state": "GA",
"postal_code": "31709",
"telephone_number": "229-942-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S LEE ST STE A",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093698",
"telephone_number": "229-380-0266",
"fax_number": "229-380-0267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJAY M KOTHARI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-30",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "KOTHARI",
"authorized_official_first_name": "AJAY",
"authorized_official_middle_name": "MAHESHCHANDRA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "229-942-9534",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "26984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00075963G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
- Accelerated Physical Therapy, Inc.
- Kristen Renay Adkins-Murdock
- Afterhours Care of Americus, Inc
- Jeovanni Aguilera
- Air Evac EMS Inc.
- Syed M Alam, M.D.
- Albany Area Primary Health Care, Inc (AAPHC Americus Behavioral Wellness Center)
- Albany Area Primary Health Care, Inc. (Sumter County School-Based Health)
- Albany Pulmonary and Critical Care, P.C. (Pulmonary Associates and Sleep Apnea Center)
- Betty Allen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.