Active NPI
Saksham Sulove, M.D.
- Internal Medicine Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 94332
- Practice address
- 1439 Jesse Jewell Pkwy NE Ste 202
Gainesville, GA 30501-3806 - Phone
- (770) 219-0026
- NPI assigned
- Jul 15, 2011
- Last updated
- Dec 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 308600 | LA | |
| Internal Medicine Physician | 207R00000X | 94332 | GA | Primary |
Addresses
Primary practice location
1439 Jesse Jewell Pkwy NE Ste 202
Gainesville, GA 30501-3806
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000
Other practice location 2
2021 Baney Rd S
Suite A
Ashland, OH 44805-4574
Phone (419) 289-1133
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 River PL
Suite 200
Braselton, GA 30517-5603
Phone (770) 848-6103
Hospital & facility affiliations
- Accentcare Home Health of Northeast Georgia
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
1515 River Pl
Ste 200
Braselton, GA 30517
Phone (770) 848-6103
1439 Jesse Jewell Pkwy NE
Ste 202
Gainesville, GA 30501
Phone (770) 219-0023
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AccentCare Home Health of Northeast Georgia
- Home Health Agency
- Buford, GA
- NPI 1639100985
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- 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": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1871881508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 JESSE JEWELL PKWY NE STE 202",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013806",
"telephone_number": "770-219-0026"
}
],
"practiceLocations": [
{
"address_1": "1541 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-626-0000",
"fax_number": "318-629-4833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2021 Baney Rd S",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "OH",
"postal_code": "448054574",
"country_code": "US",
"telephone_number": "419-289-1133",
"fax_number": "419-289-1132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULOVE",
"first_name": "SAKSHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-15",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "308600",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "94332",
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 2024; 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.
- 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.