Sudhakar Jonnalagadda, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

041589 Issued in GA

Practice address

300 Shirley Ave
Douglas, GA 31533-2332

Phone

(912) 384-7275

Fax

(912) 384-4343

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Gastroenterologyand Hepatology Consultants IncGroup PAC ID 0648467225, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Gastroenterology& Hepatology Consultants Inc

  • Gastroenterology Physician
  • Douglas, GA
  • NPI 1336320761
  Medicare reassignment Care Compare group NPD Authorized official
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• Irwin County Hospital

  • Rural Acute Care Hospital
  • Ocilla, GA
  • NPI 1720098791
  Medicare reassignment NPD
• Coffee County Center for Digestive Diseases LLC

  • Ambulatory Surgical Clinic/Center
  • Douglas, GA
  • NPI 1043411648
  NPD Authorized official
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD

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

• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare affiliation

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1043203011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-384-7275",
            "fax_number": "912-384-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-384-7275",
            "fax_number": "912-384-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONNALAGADDA",
        "first_name": "SUDHAKAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "041589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000831784A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John B Moffet DC PC
• Lajuanna Johnson
• Marci McQuaig Johnson, FNP-C
• Vernon Timothy Johnson, FNP
• Michelle Martinez Jones, FNP-C
• Umamaheswari Jonnalagadda, MD
• Karly Joyce, FNP-C
• Kaczor Enterprises Inc (U. S. Ambulance EMS)
• Lacey Kersey, FNP-C
• Hadequa Noor Khan, MD

• Gastroenterology Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.