Active NPI
Mohak P Dave, M.D.
- Emergency Medicine Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 051128
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 536-2146
- Fax
- (770) 536-7895
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 051128 | GA | Primary |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 2938
Gainesville, GA 30503-2938
Phone (770) 536-2146
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000958669P | Other | GA | MEDICAID URGENT CARE FRIENDSHIP |
| 93BFDXQ | Other | GA | MEDICARE PIN URGENT CARE FRIENDSHIP |
| 000958669N | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of South Carolina School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 503-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- Quality
- 91.38
- Improvement activities
- 40
- Cost
- 79.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051128 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Emergency Department Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Georgia Observation and Telehealth Services, LLC | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Urgent Care LLC | Emergency Medicine | Current | Accepting new patients |
| Mississippi Emergency Department Services PC | Emergency Medicine | Current | Accepting new patients |
| Emerginet, LLC | Past | Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients | |
| Cartersville Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Emerginet Henry, LLC | Past | Accepting new patients | |
| South Fulton Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| NGMC Barrow LLC | Hospital | Corporate Director | Feb 1, 2025 |
| NGMC Lumpkin, LLC | Hospital | Corporate Director | Jul 1, 2019 |
| New Horizons Habersham | Skilled nursing facility | Corporate Director | Jul 1, 2023 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba NGMC Barrow
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
Corporate Director
-
- Skilled Nursing Facility
- Demorest, GA
- NPI 1497456776
Corporate Director
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
-
- Emergency Medicine Physician
- Pascagoula, MS
- NPI 1881427961
-
- Emergency Care Clinic/Center
- Gainesville, GA
- NPI 1679287650
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1790875037
Emergency Medicine
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1346295995
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1811946627
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1164480869
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1821043787
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1871538801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2938",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305032938",
"telephone_number": "770-536-2146",
"fax_number": "770-536-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-536-2146",
"fax_number": "770-536-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "MOHAK",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "051128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID URGENT CARE FRIENDSHIP",
"identifier": "000958669P",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN URGENT CARE FRIENDSHIP",
"identifier": "93BFDXQ",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000958669N",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.