NPIMap

Organization Active NPI

Cumming Rheumatology and Arthritis LLC

  • Medical Specialty Clinic/Center
  • Cumming, GA
National Provider Identifier
1992014872
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
62253 Issued in GA
Legal business name
CUMMING RHEUMATOLOGY AND ARTHRITIS LLC
Practice address
3970 Deputy Bill Cantrell Mem
Ste 203
Cumming, GA 30040-3004
Phone
(770) 887-5159
Fax
(770) 887-9496
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Dr. Jagindra Nath Mangru, M.D.
Title
Physician
Phone
(770) 887-5159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 62253 GA Primary

Addresses

Primary practice location

3970 Deputy Bill Cantrell Mem
Ste 203
Cumming, GA 30040-3004

Mailing address

3970 Deputy Bill Cantrell Mem
Ste 203
Cumming, GA 30040-5962
Phone (770) 887-5159

Other identifiers 1

IdentifierTypeStateIssuer
560855484AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmangru@aaracummingrheumatology.careclouddirect.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3970 Deputy Bill Cantrell Mem
Ste 203
Cumming, GA 30040
Phone (770) 887-5159

Practitioners & affiliated clinicians

Practitioners 1

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": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1992014872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405962",
            "telephone_number": "770-887-5159",
            "fax_number": "770-887-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403004",
            "telephone_number": "770-887-5159",
            "fax_number": "770-887-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMING RHEUMATOLOGY AND ARTHRITIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MANGRU",
        "authorized_official_first_name": "JAGINDRA",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-887-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "62253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560855484A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmangru@aaracummingrheumatology.careclouddirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300403004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.