DR. DEEPA SANJAY JAGDALE (M.D.) – Pediatrics Physician, NPI 1447412184
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DEEPA SANJAY JAGDALE (M.D.)
University Parkway, Evans, Columbia County, Georgia, 30907, United States
EVANS, GA 308093093
Phone: (706) 854-2600
Fax: (706) 854-2601
Type: Mailing
3540 Wheeler Rd Ste 302
Augusta, GA 309091898
Phone: (706) 737-0111
Type: Location
CSRA PEDS
699 FURYS FERRY RD
MARTINEZ, GA 309073093
Phone: (706) 901-7337
Fax: (706) 903-5002
Type: Mailing
699 FURYS FERRY RD
MARTINEZ, GA 309079064
Phone: (706) 901-7337
Fax: (706) 903-5002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Corium, LLC ($163).
Total Amount
$367
General + Research + Ownership
Payments
25
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $163 |
| Supernus Pharmaceuticals, Inc. | $97 |
| Merck Sharp & Dohme LLC | $35 |
| IRONSHORE PHARMACEUTICALS INC. | $22 |
| SANOFI PASTEUR INC. | $19 |
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: 2015-12-22
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 |
|---|---|---|---|---|
| I20151222001250 | I | Pediatric 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30809)
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