Individual provider Active NPI

Anand Deviprakash Udupa, MD

  • Nephrology Physician
  • Acworth, GA
National Provider Identifier
1043303084
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
101941 Issued in GA
Practice address
4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104
Phone
(470) 227-8130
Fax
(470) 747-7588
NPI assigned
Oct 2, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 101941 GA Primary

Addresses

Primary practice location

4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104

Mailing address

4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104
Phone (470) 227-8130

Other names 1

  • Dr. A. Deviprakash Udupa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, GA2 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
I20050217000019 OK Practitioner - NephrologyPractitioner - Internal Medicine 1658323811 Reassigns benefits to 1 organization
Practice locations: Tulsa, OK
I20250825000789 GA Practitioner - Nephrology 1658323811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cowry Medical Group LLCGroup PAC ID 3577814318, 6 clinicians

Practice addresses (Care Compare)

4450 Calibre Xing NW
Suite 1126
Acworth, GA 30101-4104
Phone (470) 277-8130

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cowry Medical Group, LLC Nephrology CurrentSince Nov 1, 2025 Accepting new patients

Locations

1720 Mars Hill Rd NW
Ste 120380
Acworth, GA 30101

4450 Calibre Xing NW
Ste 1126
Acworth, GA 30101
Phone (470) 227-8130

8570 Hospital Dr
Douglasville, GA 30134
Phone (470) 227-8130

Interoperability endpoints

  • Direct secure messaging: anand.udupa@direct.davitaphysiciansolutions.com
  • Direct secure messaging: anand.udupa@direct.stjohnhealthsystem.com
  • Direct secure messaging: audupa1170408@direct.emory.org

Organizations & group practices 2

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 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1043303084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1126",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014104",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1126",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014104",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDUPA",
        "first_name": "ANAND",
        "middle_name": "DEVIPRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "101941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A. DEVIPRAKASH",
            "last_name": "UDUPA",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.