Individual provider Active NPI

Bannur Ramanna Nandeesh

  • Hospitalist Physician
  • Athens, GA
National Provider Identifier
1003304619
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
89427 Issued in GA
Practice address
1199 Prince Ave
Athens, GA 30606-2797
Phone
(706) 475-5076
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 89427 GA
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 89427 GA Primary

Addresses

Primary practice location

1199 Prince Ave
Athens, GA 30606-2797

Mailing address

1199 Prince Ave Ste 70
Athens, GA 30606-2797

Other practice location 1

1270 Prince Ave Ste 201
Athens, GA 30606-2789
Phone (706) 475-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813000907 GA Practitioner - Internal Medicine 3971907882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Sep 7, 2021 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince May 1, 2023 Accepting new patients
Piedmont Athens Primary Care LLC CurrentSince Jul 1, 2022 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince May 1, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Internal Medicine CurrentSince Sep 7, 2021 Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Piedmont Rockdale Hospital Inc. Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1199 Prince Ave
Ste 70
Athens, GA 30606

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1270 Prince Ave
Ste 201
Athens, GA 30606
Phone (470) 271-3427

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1003304619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE STE 70",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-475-5076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Prince Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062789",
            "country_code": "US",
            "telephone_number": "706-475-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDEESH",
        "first_name": "BANNUR",
        "middle_name": "RAMANNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "89427",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "89427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.