JAYASHREE SUNIL JOHN MD
NPI 1003012915
Psychiatry & Neurology - Psychiatry in Columbus, GA

NPI Status: Active since June 26, 2007

Contact Information

2000 16TH AVENUE
COLUMBUS, GA
ZIP 31901
Phone: (706) 320-3770
Fax: (706) 320-3772

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  • Individual
  • Female
  • Years of Experience 40
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JAYASHREE JOHN

Jayashree John is a provider established in Columbus, Georgia and her medical specialization is Psychiatry & Neurology with a focus in psychiatry with more than 40 years of experience. The healthcare provider is registered in the NPI registry with number 1003012915 assigned on June 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 062125 (GA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1003012915
Provider Name
JAYASHREE SUNIL JOHN MD
Gender
Female
Entity Type
Individual
Location Address
2000 16TH AVENUE COLUMBUS, GA 31901
Location Phone
(706) 320-3770
Location Fax
(706) 320-3772
Mailing Address
PO BOX 8824 COLUMBUS, GA 31908
Mailing Phone
(706) 320-3770
Mailing Fax
(706) 320-3772
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
No
Enumeration Date
06-26-2007
Last Update Date
08-02-2015
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A psychiatrist like Jayashree John are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Jayashree John is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
062125
License State
GA
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

MDST (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Absolute Total Care

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway Guided Access HMO 0% for HSA - HMO
    • Anthem Bronze Pathway Guided Access HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway Guided Access HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway Guided Access HMO 7500/50% Standard - HMO
    • Anthem Bronze Pathway Guided Access HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
  • Cigna HealthCare of Georgia, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8500 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
912624081AMEDICAID (05)GA 
112812MEDICAID (05)AL 
202I264729MEDICARE PIN (08)GA 

PECOS Enrollment and Medicare Participation Status

Jayashree John is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133275274

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090915000481

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 74

    Psychotherapy, 30 minutes (HCPCS:90833)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jayashree John is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST FRANCIS HOSPITAL- EMORY HEALTHCARE2122 MANCHESTER EXPRESSWAY
COLUMBUS, GA 31995
(706) 596-4020Acute Care Hospitals

Reviews for JAYASHREE SUNIL JOHN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012915
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 9 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003012915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346414810 JANNA GILMER O'LOUGHLIN LPC
Individual
Counselor (Professional)2000 16TH AVENUE
COLUMBUS, GA 31901
(706) 320-3770
1003981671 MICHAEL ALAN ELLIS D.O.
Individual
Psychiatry & Neurology (Psychiatry)2000 16TH AVENUE
COLUMBUS, GA 31901
(706) 320-3770
1134340052 RIZWAN KHAN D.O.
Individual
Psychiatry & Neurology (Psychiatry)2000 16TH AVENUE
COLUMBUS, GA 31901
(706) 320-3770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012915, enumerated in the NPI registry as an "individual" on June 26, 2007

The provider is located at 2000 16th Avenue Columbus, Ga 31901 and the phone number is (706) 320-3770

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider has more than 40 years of experience.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Psychotherapy, 30 minutes.

The practitioner is affiliated to the following hospital(s): ST FRANCIS HOSPITAL- EMORY HEALTHCARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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