VIJAY K. MAHATHRE (M.D.) – Family Medicine Physician, NPI 1528047016
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
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Provider Addresses for VIJAY K. MAHATHRE (M.D.)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303847329
Phone: (800) 377-8721
Fax: (304) 523-2241
Type: Mailing
Jeff Davis Hospital, 163, South Tallahassee Street, Hazlehurst, Jeff Davis County, Georgia, 31539, United States
HAZLEHURST, GA 315396465
Phone: (912) 375-7781
Fax: (912) 375-4055
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: 2004-05-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040522000167 | I | Emergency Medicine | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 131 | 127 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 108 | 104 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 61 | 60 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 54 | 41 | $0 |
| 99291 | Critical care, first 30-74 minutes | 29 | 27 | $0 |
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Family Practice, Emergency Medicine | GA | |
| Internal Medicine, Family Practice | GA | |
| Emergency Medicine | GA | |
| General Surgery, Thoracic Surgery, Vascular Surgery | GA | |
| Family Practice, Addiction Medicine | GA | |
| Emergency Medicine, Family Practice | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| - | GA |
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