DR. NIMISHA J TRIVEDI (MD) – Family Medicine Physician, NPI 1629074299

DR. NIMISHA J TRIVEDI (MD) is a healthcare provider. based in Locust grove, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 053715 (GA). The NPI Number for DR. NIMISHA J TRIVEDI (MD) is 1629074299

Main info

Female
Sole Proprietor
30 Years Of Experience
Name
DR. NIMISHA J TRIVEDI (MD)
NPI
1629074299
Phone
(678) 610-6649
Address
3778 HIGHWAY 42
Enumeration Date
28 June 2005
Deactivation Date
17 March 2006
Reactivation Date
23 March 2006
Last Update Date
15 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6786106649
Graduation Year
1996 (30 years ago)
PAC ID
2668467622
Group Practice PAC ID
1052306008
Professional Enrollment ID
I20040420000918
Address ID
GA302480000LO3778X42XX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. NIMISHA J TRIVEDI (MD)

  • 42, Locust Road, Northport, Suffolk County, New York, 11768, United States

    LOCUST GROVE, GA 30248

    Phone: (678) 610-6649

    Fax: (678) 610-6025

    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 136 Open Payments records for all available years, with a total value of $2,972.

Total Amount is formed as General ($2,972) + Research ($0) + Ownership ($0) = $2,972.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($616).

Total Amount

$2,972

General + Research + Ownership

Payments

136

Total payment records

General Amount

$2,972

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2004-04-20

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
I20040420000918IFamily PracticeGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month43759$0
99214Established patient office or other outpatient visit, 30-39 minutes412176$0
99213Established patient office or other outpatient visit, 20-29 minutes328178$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes22248$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days21442$0
View full utilization report →

Insurance plans in this area (ZIP 30248)

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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: 1052306008View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. NIMISHA J TRIVEDI (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. NIMISHA J TRIVEDI (MD) with NPI 1629074299.
Does CMS list DR. NIMISHA J TRIVEDI (MD) as active?
Yes — DR. NIMISHA J TRIVEDI (MD) is active in the NPI listing used on this page.
What is DR. NIMISHA J TRIVEDI (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. NIMISHA J TRIVEDI (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. NIMISHA J TRIVEDI (MD) list a practice location?
Patients near Locust Grove, Georgia may find DR. NIMISHA J TRIVEDI (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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