Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC in Marietta, GA

Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marietta, Georgia. His current practice location is 2550 Sandy Plains Rd Ste 225, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 525-7415.

Mr Shashank Kumar Jha is licensed to practice in Georgia (license number RN214076) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174800072.

Contact Information

	Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC
	2550 Sandy Plains Rd Ste 225, Marietta, GA 30066-7256
	(770) 525-7415
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shashank Kumar Jha
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2550 Sandy Plains Rd Ste 225, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174800072
Provider Enumeration Date: 11/07/2011
Last Update Date: 09/24/2025

Medicare PECOS Information:

PECOS PAC ID: 7719153360
Enrollment ID: I20120131000672

Medical Identifiers

Medical identifiers for Mr Shashank Kumar Jha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174800072	NPI	-	NPPES
RN 214076	Other	GA	GEORGIA BOARD OF NURSING
17634	Other	SC	SOUTH CAROLINA BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN214076 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	17634 (South Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN214076 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Shashank Kumar Jha allows following entities to bill medicare on his behalf.

Entity Name	Phoebe Worth Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760460448 PECOS PAC ID: 0840104527 Enrollment ID: O20040205000529

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shashank Kumar Jha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 508-3835	Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC 2550 Sandy Plains Rd Ste 225, Marietta, GA 30066-7256 Ph: (770) 525-7415

Reviews and Comments

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Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC - Medicare Nurse Practitioner in Marietta, GA