DR. SUVRAT JAGANNIVAS BHARGAVE MD
NPI 1720070501
Specialist in Tyrone, GA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since August 18, 2005

120 HANDLEY RD, SUITE 310, TYRONE, GA 30290(770) 486-1011(770) 486-1067 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Suvrat Jagannivas Bhargave Md NPPES

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

DR. SUVRAT JAGANNIVAS BHARGAVE MD (NPI 1720070501) is an individual specialist in Tyrone, Georgia, licensed in Georgia (047297) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1720070501

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. SUVRAT JAGANNIVAS BHARGAVECredential: MD

Location Address120 HANDLEY RD, SUITE 310Tyrone, GA 30290-2177

Mailing Address120 Handley Rd, Suite 310Tyrone, GA 30290-2177 · (770) 486-1011 · Fax (770) 486-1067

Phone(770) 486-1011

Fax(770) 486-1067

Sole ProprietorYes

Enumeration DateAugust 18, 2005

Last NPPES UpdateMarch 30, 2012

✔ NPI 1720070501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 047297

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

120 HANDLEY RD, Tyrone, GA 30290

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Suvrat Jagannivas Bhargave Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2026.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2026Opt-out affidavits renew automatically every two years unless cancelled