Jayashree Chengalath Veliyath (NPI# 1992722920, PAC ID# 2062601990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1992722920 |
| PAC ID by PECOS | 2062601990 |
| Professional Enrollment ID | I20110107000822 |
| Full Name | Jayashree Chengalath Veliyath |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Address |
2155 Post Oak Tritt Rd Suite 580 Marietta GA 30062-8608 |
| Phone Number | 7709710633 |
| Gender | F |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4284951542 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 | 7704604285 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| 2155 Post Oak Tritt Rd, Suite 580, Marietta, GA 30062-8608 | 7709710633 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Physicians | 225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Deason Perritt | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1218 Alice St, Waycross, GA 31501-4525 |
| Angela Duke | Nurse Practitioner | Privia Medical Group of Georgia LLC | 106 Pilgrim Village Dr, Suite 400, Cumming, GA 30040-9242 |
| Daniel John Callahan | Physician Assistant | Privia Medical Group of Georgia LLC | 100 Genevieve Ct, Suite A, Peachtree City, GA 30269-4868 |
| Holly M Loesch | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 440 Washington St Se, Gainesville, GA 30501-3619 |
| Lyudmila P Carter | Internal Medicine | Privia Medical Group of Georgia LLC | 109 W Oglethorpe Hwy, Hinesville, GA 31313-3657 |
| Michaela Seward Jones | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1010 E Fwy Dr Se, Conyers, GA 30094-5965 |
| Erin Wells Raser | Physician Assistant | Privia Medical Group of Georgia LLC | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 |
| Morgan Charlotte Jackson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 119 W Hill St, Thomasville, GA 31792-6618 |
| Ashley Paige Keen | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2402 Osler Ct, Albany, GA 31707-0205 |
| Jeanette Dormio | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 |
| Street Address |
2155 POST OAK TRITT RD SUITE 580 |
| City | MARIETTA |
| State | GA |
| Zip | 30062-8608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David N Hendler | Internal Medicine | 2155 Post Oak Tritt Rd, Ste300, Marietta, GA 30062-8620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilene L Cooper | Clinical Social Worker | 2790 Sandy Plains Rd, Marietta, GA 30062 | |
| Joseph Ronald Gross | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 2100 Roswell Rd, Suite 2124, Marietta, GA 30062-0874 |
| Maria J Rzeznik | Registered Dietitian Or Nutrition Professional | Nutrikiss Inc | 2155 Camberley Pl, Marietta, GA 30062-1894 |
| David J Williams | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Colleen N Wood | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Leslie K Wood | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Lawrence Jackson Ludtke | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb N Pkwy, Marietta, GA 30062-2425 |
| Linda L Crawford | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb N Pkwy, Marietta, GA 30062-2425 |
| Paul I Suji | Optometry | 2230 Roswell Rd, Suite 100, Marietta, GA 30062-2945 | |
| Jeffrey L Culpepper | Emergency Medicine | American Current Care Pa | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 |
| Find all physicians in zip 30062 | |||
| City | MARIETTA |
| Zip Code | 30062 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARIETTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jayashree Chengalath Veliyath.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.