JITAL J PANCHOLI
NPI 1093024747
Physical Therapist - Orthopedic in Cumming, GA

Active since September 29, 2010
2450 ATLANTA HWY STE 604, CUMMING, GA 30040(404) 225-2174(706) 995-6862 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2023, Mar 17, 2018, Nov 9, 2017 (3 updates tracked since 2017).

About Jital J Pancholi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JITAL J PANCHOLI (NPI 1093024747) is an individual orthopedic provider in Cumming, Georgia, licensed in Georgia (PT010003) and active in the NPI registry since September 2010. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093024747
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameJITAL J PANCHOLI
Location Address2450 ATLANTA HWY STE 604Cumming, GA 30040-1254
Mailing Address2450 Atlanta Hwy Ste 604Cumming, GA 30040-1254 · (404) 225-2174 · Fax (706) 995-6862
Fax(706) 995-6862
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
Last NPPES UpdateMay 10, 20233 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1093024747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · PT010003
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2450 ATLANTA HWY STE 604, Cumming, GA 30040

Other Names 1

Former Name (1)Jital P Shah

Secondary Practice Locations 2

Location 15775 Old Winder HwyBraselton, GA 30517-1603 · Phone (678) 866-4104 · Fax (678) 866-4104
Location 23875 Johns Creek PkwySuwanee, GA 30024-1294 · Phone (770) 814-2986

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jital J Pancholi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jital Pancholi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
2450 ATLANTA HWY STE 604
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
2450 ATLANTA HWY STE 604
CUMMING, GA 30040
Physical Therapist
2450 ATLANTA HWY STE 604
CUMMING, GA 30040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jital Pancholi's NPI number?

The NPI number for Jital Pancholi is 1093024747. It was assigned to this individual provider in the NPPES registry on September 29, 2010. The provider is also known as Jital P Shah.

Where is Jital Pancholi located?

Jital Pancholi practices at 2450 Atlanta Hwy Ste 604, Cumming, GA 30040. The listed phone number is (404) 225-2174.

What is Jital Pancholi's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jital Pancholi enrolled in Medicare?

Yes. Jital Pancholi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jital Pancholi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jital Pancholi reassigns Medicare benefits to Oncore Physical Therapy (Cumming, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jital Pancholi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jital Pancholi was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.