NIDHA JIVAN PA
NPI 1902580772
Physician Assistant in Snellville, GA

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
1800 TREE LN STE 250, SNELLVILLE, GA 30078(770) 736-6300 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nidha Jivan Pa NPPES

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

NIDHA JIVAN PA (NPI 1902580772) is an individual physician assistant in Snellville, Georgia, licensed in Georgia (11663) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1902580772
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIDHA JIVANCredential: PA
Location Address1800 TREE LN STE 250Snellville, GA 30078-6799
Mailing Address410 Meijer DrFlorence, KY 41042-5128
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 12, 2023
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1902580772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 11663
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 11663 (GA)
1800 TREE LN STE 250, Snellville, GA 30078

Secondary Practice Location 1

Location 1410 Meijer DrFlorence, KY 41042-5128 · Phone (661) 304-5415

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nidha Jivan Pa 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.

PECOS PAC ID7416318407
PECOS Enrollment IDI20230808000424
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 9

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

Nurse Practitioner
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Nurse Practitioner
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Physician Assistant
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Nurse Practitioner
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Nurse Practitioner (Acute Care)
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Internal Medicine
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Nurse Practitioner (Gerontology)
1800 TREE LN STE 250
SNELLVILLE, GA 30078
Nurse Practitioner
1800 TREE LN STE 250
SNELLVILLE, GA 30078

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 Nidha Jivan's NPI number?

The NPI number for Nidha Jivan is 1902580772. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Nidha Jivan located?

Nidha Jivan practices at 1800 Tree Ln Ste 250, Snellville, GA 30078. The listed phone number is (770) 736-6300.

What is Nidha Jivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nidha Jivan enrolled in Medicare?

Yes. Nidha Jivan 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.

What insurance does Nidha Jivan accept?

Health plans from Oscar Insurance Company list Nidha Jivan 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 Nidha Jivan affiliated with any hospitals?

According to CMS data, Nidha Jivan is affiliated with Northside Hospital Gwinnett and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Nidha Jivan was last updated on September 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.