Individual ProviderMayuri Ashok BhaktaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11460 Johns Creek Pkwy, Johns Creek, GA 30097-1518(678) 415-2406(770) 826-0332PECOS EnrollmentBased on the most recent information from CMS, provider Mayuri Ashok Bhakta does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1487826269Provider TypeIndividualFull NameBhakta, Mayuri AshokCredentialNPGenderFemaleSole ProprietorYesEnumeration Date4/1/2008Last Updated1/24/2019Contact InformationPractice LocationPractice Address11460 Johns Creek Pkwy, Johns Creek, GA 30097-1518Phone(678) 415-2406Fax(678) 415-3120Mailing LocationMailing Address7625 Stamp Mill Ct, Johns Creek, GA 30097-2406Phone(770) 826-0332FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN168372Georgia