NPIMap

Organization Active NPI

Suvrat J Bhargave MD PC

  • Psychiatry Physician
  • Tyrone, GA
National Provider Identifier
1952433864
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
047297 Issued in GA
Legal business name
SUVRAT J BHARGAVE MD PC
Practice address
120 Handley Rd
Suite 310
Tyrone, GA 30290-2177
Phone
(770) 486-1011
Fax
(770) 486-1067
NPI assigned
Mar 9, 2007
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Suvrat J Bhargave, MDNPI 1720070501
Title
President
Phone
(770) 486-1011

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002261 GA
Psychiatry Physician 2084P0800X 047297 GA Primary

Addresses

Primary practice location

120 Handley Rd
Suite 310
Tyrone, GA 30290-2177

Mailing address

307 Loring LN
Peachtree City, GA 30269-4241
Phone (770) 486-1011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1952433864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LORING LN",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694241",
            "telephone_number": "770-486-1011",
            "fax_number": "770-486-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD",
            "address_2": "SUITE 310",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902177",
            "telephone_number": "770-486-1011",
            "fax_number": "770-486-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUVRAT J BHARGAVE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "BHARGAVE",
        "authorized_official_first_name": "SUVRAT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-486-1011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002261",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "047297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.