Individual provider Active NPI

Preethi Mereddy, MD

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1023503331
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT216271 Issued in PA
Practice address
1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765
Phone
(478) 328-7674
Fax
(478) 328-1393
NPI assigned
Jun 28, 2018
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT216271 PA Primary

Addresses

Primary practice location

1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765

Mailing address

Houston Primary Care
1719 Russell Parkway Suite -700
Warner Robins, GA 31088
Phone (478) 328-7674

Other practice location 1

218 Ga Highway 49 N
Byron, GA 31008-4042
Phone (478) 956-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210902002483 GA Practitioner - Internal Medicine 6002168341 Reassigns benefits to 2 organizations
I20241013000076 MD Practitioner - Internal Medicine 6002168341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians
Cogent Healthcare of Macon, LLCGroup PAC ID 9234104019, 73 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-5623

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-7444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT216271PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Macon, LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Nov 14, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

218 GA Highway 49 N
Byron, GA 31008
Phone (478) 956-3477

701 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 825-0023

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550

1719 Russell Pkwy
Ste 700
Warner Robins, GA 31088
Phone (478) 328-0806

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: pmereddy495001@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1023503331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOUSTON PRIMARY CARE",
            "address_2": "1719 RUSSELL PARKWAY SUITE -700",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-328-7674",
            "fax_number": "478-328-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY STE 700",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885765",
            "telephone_number": "478-328-7674",
            "fax_number": "478-328-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Ga Highway 49 N",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "GA",
            "postal_code": "310084042",
            "country_code": "US",
            "telephone_number": "478-956-3477",
            "fax_number": "478-956-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDDY",
        "first_name": "PREETHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT216271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.