| NPI | 1447412184 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-06-25 |
| Last Updated | 2024-03-07 |
| Mailing Address | Csra Peds, 699 Furys Ferry Rd Martinez, GA 30907-3093 United States Phone: (706) 901-7337 | Fax: (706) 903-5002 📍 View Map |
| Primary Practice Address | 699 Furys Ferry Rd Martinez, GA 30907-9064 United States Phone: (706) 901-7337 | Fax: (706) 903-5002 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 003161963F | - |
| MEDICAID | SC | 314582 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | SC | 31458 |
| Yes | 208000000X – Pediatrics | GA | 003071 |
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About NPI 1447412184
Deepa Sanjay Jagdale M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1447412184. The primary specialty listed is Pediatrics. The provider is located in Martinez, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-06-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1447412184?
NPI 1447412184 belongs to Deepa Sanjay Jagdale M.D., a Pediatrics in Martinez, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1447412184 active?
The current status of NPI 1447412184 in the NPPES registry is Active. The record was last updated on 2024-03-07.
What specialty is NPI 1447412184?
NPI 1447412184 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1447412184?
You can verify NPI 1447412184 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1447412184?
The primary practice address on file for NPI 1447412184 is 699 Furys Ferry Rd, Martinez, GA 30907-9064. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1447412184 issued?
NPI 1447412184 was first issued (enumerated) on 2008-06-25. The NPPES record was last updated on 2024-03-07.
Practice Location Map
Deepa Sanjay Jagdale is located at 699 Furys Ferry Rd, Martinez, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Deepa Sanjay Jagdale. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1447412184. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 31458 | SC |
| Pediatrics | 003071 | GA |