SRUJAL AMIN NURSE PRACTITIONER
NPI 1174408124
Nurse Practitioner - Family in Gainesville, GA
About Srujal Amin Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SRUJAL AMIN NURSE PRACTITIONER (NPI 1174408124) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN279137) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Srujal Amin Nurse Practitioner 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 Srujal Amin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
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 Srujal Amin's NPI number?
The NPI number for Srujal Amin is 1174408124. It was assigned to this individual provider in the NPPES registry on August 8, 2025.
Where is Srujal Amin located?
Srujal Amin practices at 1498 Jesse Jewell Pkwy SE Ste C, Gainesville, GA 30501. The listed phone number is (770) 744-4806.
What is Srujal Amin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Srujal Amin enrolled in Medicare?
Yes. Srujal Amin 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 Srujal Amin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Srujal Amin reassigns Medicare benefits to Cherokee County Health Department (Gainesville, 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 Srujal Amin'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 Srujal Amin was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Srujal Amin, NURSE PRACTITIONER · NPI 1174408124
Family physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since August 8, 2025.
## Identity
- **NPI:** 1174408124 (Entity type: Individual)
- **Enumerated:** August 8, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN279137 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1498 JESSE JEWELL PKWY SE STE C, Gainesville, GA 30501-3874
- **Phone:** (770) 744-4806
## 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:** Cherokee County Health Department (NPI 1235812744, Gainesville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174408124) · Data from the CMS NPPES public registry.