NPIMap

Organization Active NPI

Prime Care of Georgia II LLC

  • Allergy & Immunology (Internal Medicine) Physician
  • Pooler, GA
National Provider Identifier
1972258002
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
PRIME CARE OF GEORGIA II LLC
Practice address
1000 Towne Center Blvd Ste 604
Pooler, GA 31322-4070
Phone
(912) 561-7001
Fax
(912) 561-7002
NPI assigned
Feb 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Neha Kharod, MDNPI 1851520019
Title
Physician
Phone
(912) 561-7001

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)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X Primary

Addresses

Primary practice location

1000 Towne Center Blvd Ste 604
Pooler, GA 31322-4070

Mailing address

1000 Towne Center Blvd Ste 604
Pooler, GA 31322-4070
Phone (912) 561-7001

Other names 1

  • Prime Care of Georgia Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkharod@pcg.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220428000894 GA Part B Supplier - Clinic/Group Practice 2961899596 Receives reassigned benefits from 1 practitioner
Practice locations: Pooler, GA; Savannah, GA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: nkharod@pcg.emadirect.md

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1972258002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 604",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224070",
            "telephone_number": "912-561-7001",
            "fax_number": "912-561-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 604",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224070",
            "telephone_number": "912-561-7001",
            "fax_number": "912-561-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE OF GEORGIA II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KHAROD",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-561-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkharod@pcg.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Towne Center Blvd Ste 604",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313224070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prime Care of Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Care of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.