MITALI MEHTA (NPI# 1366977647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366977647 |
| Entity Type | Individual |
| Full Name | MITALI MEHTA |
| Credential | M.D. |
| Practice Address |
350 Hospital Dr Macon GA 31217-3838 |
| Mailing Address |
44 Krog St Ne Unit 435 Atlanta GA 30307-2650 |
| Practice Telephone | 4787657000 |
| Mailing Telephone | 7066311139 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 86023 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033552138 | Mitali Mehta | Internal Medicine | 8700 Beverly Blvd Ste B220, West Hollywood, CA 90048-1804 | 2013-04-09 |
| 1508119256 | Mitali H Mehta | Pharmacist | 424 W Summerchase Dr, Fayetteville, NC 28311-6305 | 2012-10-18 |
| Street Address |
350 HOSPITAL DR |
| City | MACON |
| State | GA |
| Zip Code | 31217-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471138 | Gary K Walker | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-13 |
| 1861091340 | Shelby Walker | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-10-26 |
| 1134751191 | Peach State Anesthesia Partners, LLC | Anesthesiology | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-02-07 |
| 1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
| 1306328323 | Antoinette Mariano-sabido | Physician Assistant | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-09-06 |
| 1790293751 | Robert Perry | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-01-11 |
| 1427571827 | Saleha Asghar | Hospitalist | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-07-18 |
| 1720512072 | James Weaver Corley Iv | Student in an Organized Health Care Education/Training Program | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-13 |
| 1487001798 | Terrill Anthony Cooper | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-05-17 |
| 1659734630 | Douglas Jason Buckert | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1841419595 | Theodore A. Bowles Jr. | Emergency Medicine | 109 Princeton Dr, Macon, GA 31220-8739 | 2007-04-24 |
| 1942244017 | Caleb Duro Ajibade | Emergency Medicine | 176 Springfield Blvd, Macon, GA 31210-1673 | 2006-06-16 |
| 1629043575 | Harvey Norman Clarkson | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-02-22 |
| 1427047422 | Manishkumar Rajanikant Joshi | Emergency Medicine | 3400 Riverside Dr, Macon, GA 31210-2513 | 2005-10-21 |
| 1821091810 | James L Deline | Emergency Medicine | 307 Mckay St, Macon, MO 63552-2029 | 2005-05-24 |
| 1386209815 | Adelina Roxana Buganu | Emergency Medicine | 380 Hospital Dr, Macon, GA 31217-8001 | 2019-05-09 |
| 1922456300 | K.v. Panchapakasan, M.d. PC | Emergency Medicine | 818 Forsyth St, Macon, GA 31201-2139 | 2016-05-26 |
| 1659734630 | Douglas Jason Buckert | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-03-29 |
| 1598126641 | Central Georgia Emergency Group, LLC | Emergency Medicine | 777 Hemlock St, Macon, GA 31201-2102 | 2016-03-17 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on MITALI MEHTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.