Individual provider Active NPI

Jagruti Chaudhari, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1992245591
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP118304 Issued in GA
Practice address
2055 Sugarloaf Cir Ste 575
Duluth, GA 30097-9804
Phone
(404) 999-7971
Fax
(678) 534-2045
NPI assigned
Mar 1, 2017
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP118304 GA Primary
Registered Nurse 163W00000X RN118304 GA

Addresses

Primary practice location

2055 Sugarloaf Cir Ste 575
Duluth, GA 30097-9804

Mailing address

2055 Sugarloaf Cir Ste 575
Duluth, GA 30097-9804
Phone (404) 999-7971

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030001361 GA Practitioner - Nurse Practitioner 9931475357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

2055 Sugarloaf Cir
Suite 575
Duluth, GA 30097-9804
Phone (404) 999-7971

250 Corporate Ctr CT
Stockbridge, GA 30281-6388
Phone (770) 954-8685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN118304GAMDRegistered Nurse
APRN-NP118304GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Sep 9, 2021 Accepting new patients
Greater Atlanta MD Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

5480 McGinnis Village Pl
Ste 104
Alpharetta, GA 30005
Phone (973) 477-3131

2055 Sugarloaf Cir
Ste 575
Duluth, GA 30097
Phone (404) 999-7971

250 Scenic Hwy
Lawrenceville, GA 30046
Phone (678) 442-5800

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1800 Hog Mountain Rd
Bldg 200
Watkinsville, GA 30677
Phone (678) 841-5240

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.jagrutichaudhari@124220.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1992245591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SUGARLOAF CIR STE 575",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300979804",
            "telephone_number": "404-999-7971",
            "fax_number": "678-534-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 SUGARLOAF CIR STE 575",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300979804",
            "telephone_number": "404-999-7971",
            "fax_number": "678-534-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "JAGRUTI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP118304",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN118304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.