DR. JAYDEEP SURESH BHAT (MD, MPH) – Gastroenterology Physician, NPI 1063698249

DR. JAYDEEP SURESH BHAT (MD, MPH) is a healthcare provider. based in Jonesboro, Georgia. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD, MPH. They hold a License No. 244615 (NY). The NPI Number for DR. JAYDEEP SURESH BHAT (MD, MPH) is 1063698249

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAYDEEP SURESH BHAT (MD, MPH)
NPI
1063698249
Phone
(404) 365-0966
Address
2470 MT. ZION PKWY
Enumeration Date
17 January 2008
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043647206
Graduation Year
2005 (21 years ago)
PAC ID
7911073598
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20121017000018
Address ID
GA303051729AT3495XNEXX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

524 GASTROENTEROLOGY in GA

Provider Addresses for DR. JAYDEEP SURESH BHAT (MD, MPH)

  • 2470 MT. ZION PKWY

    GASTROENTEROLOGY

    JONESBORO, GA 30236

    Phone: (404) 365-0966

    Type: Location

  • Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States

    NINE PIEDMONT CENTER

    ATLANTA, GA 30305

    Phone: (404) 364-7070

    Type: Mailing

  • 3495 PIEDMONT RD NE

    NINE PIEDMONT CENTER

    ATLANTA, GA 303051717

    Phone: (404) 364-7070

    Type: Mailing

  • 2470 MOUNT ZION PKWY

    GASTROENTEROLOGY

    JONESBORO, GA 302362500

    Phone: (404) 365-0966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121017000018IGastroenterologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. JAYDEEP SURESH BHAT (MD, MPH)?
Save NPI 1063698249 if you need a stable reference for DR. JAYDEEP SURESH BHAT (MD, MPH).
Is DR. JAYDEEP SURESH BHAT (MD, MPH)'s NPI currently valid?
The extract we use shows DR. JAYDEEP SURESH BHAT (MD, MPH) as active.
What does DR. JAYDEEP SURESH BHAT (MD, MPH) treat or focus on?
Patients typically see DR. JAYDEEP SURESH BHAT (MD, MPH) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JAYDEEP SURESH BHAT (MD, MPH)?
We surface Jonesboro, Georgia for DR. JAYDEEP SURESH BHAT (MD, MPH) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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