DR. JIGNESH R DHOLARIA MD
NPI 1104019181
Family Medicine in Alpharetta, GA
About Dr. Jignesh R Dholaria Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIGNESH R DHOLARIA MD (NPI 1104019181) is an individual family medicine provider in Alpharetta, Georgia, licensed in Georgia (061965) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Pooler.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jignesh R Dholaria Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jignesh Dholaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAWellstar North Fulton Hospital
Acute Care Hospitals · Roswell, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Jignesh Dholaria's NPI number?
The NPI number for Jignesh Dholaria is 1104019181. It was assigned to this individual provider in the NPPES registry on August 22, 2007.
Where is Jignesh Dholaria located?
Jignesh Dholaria practices at 260 Rucker Rd Ste 400, Alpharetta, GA 30004. The listed phone number is (470) 956-4540.
What is Jignesh Dholaria's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jignesh Dholaria enrolled in Medicare?
Yes. Jignesh Dholaria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jignesh Dholaria's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jignesh Dholaria reassigns Medicare benefits to Wellstar Medical Group, LLC (Roswell, 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 Jignesh Dholaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jignesh Dholaria accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health and Oscar Health list Jignesh Dholaria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jignesh Dholaria affiliated with any hospitals?
According to CMS data, Jignesh Dholaria is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.
When was this NPI record last updated?
The NPPES record for Jignesh Dholaria was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Jignesh R Dholaria, MD · NPI 1104019181
Family Medicine physician in Alpharetta, Georgia. Individual provider, active in the CMS NPPES registry since August 22, 2007.
## Identity
- **NPI:** 1104019181 (Entity type: Individual)
- **Enumerated:** August 22, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 061965 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 RUCKER RD STE 400, Alpharetta, GA 30004
- **Phone:** (470) 956-4540 · **Fax:** (770) 667-9783
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 3, 2019
- **Other identifiers:** Medicaid 591922711G (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104019181) · Data from the CMS NPPES public registry.