| Dr Nimisha J Trivedi, MD | |
|
3778 Highway 42, Locust Grove, GA 30248 | |
| (678) 610-6649 | |
| (678) 610-6025 |
| Full Name | Dr Nimisha J Trivedi |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 3778 Highway 42, Locust Grove, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629074299 | NPI | - | NPPES |
| 117518856A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 053715 (Georgia) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 053715 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Locust Grove Family Medicine | 1052306008 | 5 |
| Matrix Rehabilitation-georgia Inc | 2567379498 | 24 |
| Entity Name | Locust Grove Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629169164 PECOS PAC ID: 1052306008 Enrollment ID: O20040419000601 |
| Entity Name | Sushrut Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013740414 PECOS PAC ID: 6800322306 Enrollment ID: O20241206002957 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nimisha J Trivedi, MD 3778 Highway 42, Locust Grove, GA 30248 Ph: (678) 610-6649 | Dr Nimisha J Trivedi, MD 3778 Highway 42, Locust Grove, GA 30248 Ph: (678) 610-6649 |
Charmille Aimesa Garnett Hare, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5040 Bill Gardner Pkwy, Suite 310, Locust Grove, GA 30248 Phone: 770-898-4339 Fax: 770-898-4134 | |
Jameson Andrew Estes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3334 Highway 155, Locust Grove, GA 30248 Phone: 770-228-5407 Fax: 770-227-1430 | |
Jean Robert Ferdinand, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3334 Highway 155, Locust Grove, GA 30248 Phone: 770-305-7929 Fax: 770-305-7969 | |
Shehnaz Makhani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3758 Highway 42, Locust Grove, GA 30248 Phone: 678-561-9430 Fax: 770-914-1070 | |
Regan Joy Frake, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3758 Highway 42, Locust Grove, GA 30248 Phone: 678-561-9430 Fax: 770-914-1070 | |
Chetan Sharma, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3778 Highway 42, Locust Grove, GA 30248 Phone: 678-610-6649 Fax: 678-610-6025 |