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SRUJAL AMIN NURSE PRACTITIONER
NPI 1174408124
Nurse Practitioner - Family in Gainesville, GA

Active since August 08, 2025PECOS Enrolled
1498 JESSE JEWELL PKWY SE STE C, GAINESVILLE, GA 30501(770) 744-4806 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Aug 8, 2025 (2 updates tracked since 2025).

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

NPI1174408124
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSRUJAL AMINCredential: NURSE PRACTITIONER
Location Address1498 JESSE JEWELL PKWY SE STE CGainesville, GA 30501-3874
Mailing Address1498 Jesse Jewell Pkwy Se Ste CGainesville, GA 30501-3874 · (770) 744-4806
Phone(770) 744-4806
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 8, 2025
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1174408124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN279137
Also ListedRegistered NurseTaxonomy 163W00000X · License RN279137 (GA)
1498 JESSE JEWELL PKWY SE STE C, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srujal Amin Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204305030
PECOS Enrollment IDI20260520004515
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHEROKEE COUNTY HEALTH DEPARTMENT
Public Health or Welfare
1498 JESSE JEWELL PKWY SE STE C
GAINESVILLE, GA 30501
Hall County (770) 744-4806
AIMEE E DICKSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
1498 JESSE JEWELL PKWY SE STE C
GAINESVILLE, GA 30501
Hall County (770) 744-4806

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 enrollment system.

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 5 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.