Active NPI
Mridula Vinjamuri, M.D.
- Hematology & Oncology Physician
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 87101
- Practice address
- 187 Chastain Rd NE
Suite 250
Kennesaw, GA 30144 - Phone
- (770) 218-6450
- NPI assigned
- May 31, 2007
- Last updated
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 87101 | GA | Primary |
Addresses
Primary practice location
187 Chastain Rd NE
Suite 250
Kennesaw, GA 30144
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Phone (706) 602-7800
Other practice location 1
1035 Red Bud Rd NE Ste 101
Calhoun, GA 30701-6010
Phone (706) 625-4285
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17229 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Hematology & Oncology | Past | Accepting new patients |
| Adventist Health System Georgia, Inc. | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
1035 Red Bud Rd NE
Ste 101
Calhoun, GA 30701
Phone (706) 625-4285
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
dba Ephraim McDowell Commonwealth Cancer Center - Somerset
- Family Nurse Practitioner
- Somerset, KY
- NPI 1528911609
Hematology & Oncology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cartersville Medical Center
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
-
dba Piedmont Mountainside Hospital
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1063613503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30703",
"telephone_number": "706-602-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 CHASTAIN RD NE",
"address_2": "SUITE 250",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30144",
"telephone_number": "770-218-6450"
}
],
"practiceLocations": [
{
"address_1": "1035 Red Bud Rd NE Ste 101",
"address_purpose": "LOCATION",
"city": "Calhoun",
"state": "GA",
"postal_code": "307016010",
"country_code": "US",
"telephone_number": "706-625-4285",
"fax_number": "706-625-3905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINJAMURI",
"first_name": "MRIDULA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2022-04-13",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "87101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.