NPI age
17 years
Enumerated 2008-06-25
● Active
Type 1 · Individual
DR. Deepa Sanjay Jagdale, M.D.
Jagdale is 1 of 7 pediatrics providers in Martinez and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
699 Furys Ferry Rd
Martinez, GA 309079064
Mailing address
Csra Peds, 699 Furys Ferry Rd
Martinez, GA 309073093
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3540 Wheeler Rd Ste 302
Augusta, GA 309091898
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003161963F | |
| 05 (SC) | 314582 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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