Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447412184 Individual Practitioner Female Practitioner

Dr. Deepa Sanjay Jagdale , MD

Pediatrics • Martinez, GA

Professional Overview & Biography Verified Profile Summary

Dr. Deepa Jagdale, MD is a registered healthcare professional specializing in Pediatrics in Martinez, GA. Practice services are available at 699 FURYS FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

699 Furys Ferry Rd

Martinez, GA 309079064

Telephone 7069017337
Fax 7069035002

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Martinez, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Martinez, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 003071

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC 31458

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003161963F (GA)
Medicaid State Provider ID
314582 (SC)

Secondary Practice Locations

3540 Wheeler Rd Ste 302

Augusta, GA 309091898

Phone: 7067370111

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 07, 2024

Registered at 699 FURYS FERRY RD, MARTINEZ, GA 309079064 (Tel: 7069017337)

📍
Updated Business Mailing Address March 07, 2024

Registered at CSRA PEDS, 699 FURYS FERRY RD, MARTINEZ, GA 309073093 (Tel: 7069017337)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #31458 in SC)

NPI Profile Active November 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2017

Registered at 4321 UNIVERSITY PKWY STE 104, EVANS, GA 308093093 (Tel: 7068542600)

📍
Updated Business Mailing Address November 07, 2017

Registered at 4321 UNIVERSITY PKWY STE 104, EVANS, GA 308093093 (Tel: 7068542600)

👤
Provider Name / Credentials Updated November 07, 2017

Recorded as DEEPA JAGDALE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2017

Pediatrics (License #003071 in GA)

NPI Profile Active May 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2012

Registered at 4645 AUGUSTA RD, BEECH ISLAND, SC 298427265 (Tel: 8035939283)

📍
Updated Business Mailing Address May 18, 2012

Registered at PO BOX 277, CLEARWATER, SC 298220277 (Tel: 8035939283)

👤
Provider Name / Credentials Updated May 18, 2012

Recorded as DEEPA JAGDALE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2012

Pediatrics (License #31458 in SC)

🟢
Initial NPI Registration & Enumeration June 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447412184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2008
Last Update: March 07, 2024
Sole Proprietor: Yes

Mailing Address

Csra Peds, 699 Furys Ferry Rd

Martinez, GA 309073093

Phone: 7069017337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.