MEDICARE: JAYASHREE VENKATESH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101237911	VA
2	207Q00000X	Family Medicine Physician	065912	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00670504	OTHER	VA	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851366454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYASHREE VENKATESH MD

Provider Business Mailing Address
First Line	:	3495 PIEDMONT ROAD, NE
Second Line	:	NINE PIEDMONT CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	404-504-5678
Fax Number	:	540-636-8920

Provider Business Practice Location Address
First Line	:	1435 BROADMOOR BLVD
Second Line	:	KAISER PERMANENTE SUGAR HILL-BUFORD MEDICAL CENTER
City	:	SUGAR HILL
State	:	GA
Zip	:	30518
Country	:	US
Telephone Number	:	678-765-5700
Fax Number	:	540-636-8920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	03/07/2022

Similar Medicare Providers

1306849195 — DR. BRIDGETT LYNN JORGENSEN D.M.D.
Practice Location Address:

4955 ALTON TUCKER BLVD , SUITE 600
SUGAR HILL, GA
30518-6726

Practice Phone: 770-932-0992
Practice Fax: 770-932-9248

1275514580 — MRS. KRISTEN ERICKA SPENCER MPT, PRC
Practice Location Address:

245 PEACHTREE INDUSTRIAL BLVD STE 100
SUGAR HILL, GA
30518-9126

Practice Phone: 478-987-9697
Practice Fax:

1104898410 — SCOTT GARY PARSONS M.D.
Practice Location Address:

1435 BROADMOOR BLVD , KAISER PERMANENTE SUGAR HILL/BUFORD MEDICAL CENTER
BUFORD, GA
30518-5408

Practice Phone: 678-765-5735
Practice Fax: 803-765-9052

1194776625 — DEBRA A CIRONE DC
Practice Location Address:

5715 HWY 20
SUGAR HILL, GA
30518

Practice Phone: 678-482-4400
Practice Fax:

1962441923 — PUBLIX SUPER MARKETS INC
Practice Location Address:

5885 CUMMING HWY
SUGAR HILL, GA
30518-5765

Practice Phone: 770-614-8866
Practice Fax: 770-614-0671

1528097318 — TRI COUNTY INTERNAL MEDICINE, PC
Practice Location Address:

4720 NELSON BROGDON BLVD
SUGAR HILL, GA
30518-3480

Practice Phone: 770-945-1990
Practice Fax: 678-745-4139

Directions to “ JAYASHREE VENKATESH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.