JAY R DESAI (MD) – Internal Medicine Physician, NPI 1164524955

JAY R DESAI (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 19511 (GA). The NPI Number for JAY R DESAI (MD) is 1164524955

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
JAY R DESAI (MD)
NPI
1164524955
Phone
(770) 963-2474
Address
601 OLD NORCROSS RD
Enumeration Date
2 September 2006
Last Update Date
26 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706147170
Graduation Year
1972 (54 years ago)
PAC ID
0446384796
Group Practice PAC ID
9133211139
Professional Enrollment ID
I20100823000419

Contacts

Secure Messaging
jayaprakash.desai.p2@direct.gmg.nextgenshare.com
Secure Messaging
Jayaprakash.desai@northsidehospital.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JAY R DESAI (MD)

  • 601, Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE A

    LAWRENCEVILLE, GA 300454311

    Phone: (770) 963-2474

    Fax: (770) 963-2476

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-08-04 • Largest payer in this snapshot: Kerecis Limited ($26).

Total Amount

$26

General + Research + Ownership

Payments

2

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$26
View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-23

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
I20100823000419IInternal MedicineGATBD

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 30045)

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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: 9133211139View full group profile

Reviews

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Frequently asked questions

Can I verify JAY R DESAI (MD) with an NPI only?
You can start verification with NPI 1164524955 for JAY R DESAI (MD), then check state licensing separately.
Does CMS list JAY R DESAI (MD) as active?
Yes — JAY R DESAI (MD) is active in the NPI listing used on this page.
What healthcare role does JAY R DESAI (MD) hold?
Scheduling teams often label JAY R DESAI (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JAY R DESAI (MD)?
JAY R DESAI (MD)'s geographic hint is Lawrenceville, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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