Active NPI
Gumidyala Orthopedics
- Orthopaedic Surgery Physician
- Atlanta, GA
National Provider Identifier
1013620236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GUMIDYALA ORTHOPEDICS
- Practice address
- 5667 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30342-1725 - Phone
- (404) 252-2422
- NPI assigned
- Jan 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Krishna Gumidyala, MD
- Title
- Owner
- Phone
- (678) 232-3004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
5667 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30342-1725
Mailing address
4859 Old Timber Ridge Rd NE
Marietta, GA 30068-1683
Phone (678) 232-3004
Other names 1
- Atlanta Orthopedic Surgery and Spine Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1013620236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4859 OLD TIMBER RIDGE RD NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300681683",
"telephone_number": "678-232-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5667 PEACHTREE DUNWOODY RD STE 220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421725",
"telephone_number": "404-252-2422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUMIDYALA ORTHOPEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "GUMIDYALA",
"authorized_official_first_name": "KRISHNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-232-3004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta Orthopedic Surgery and Spine Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.