Ashok Kancharla, M.D.
Individual provider Active NPI Internal Medicine Physician · Royston, GA
NPI 1073603239 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1073603239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 048250 (GA)
- Practice address
- 132 Franklin Springs St
Royston, GA 30662-4134 - Phone
- (706) 245-7371
- Fax
- (706) 245-9257
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reddy Medical Group LLC
Practice addresses (Care Compare)
132 Franklin Springs St
Suite a
Royston, GA 30662-4134
Phone (706) 621-7575
855 W Broad St
Suite a
Athens, GA 30601-2511
Phone (706) 621-7575
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisys Company
- Enhabit Home Health
- Enhabit Home Health
- Affinis Hospice, LLC- Gainesville
- Ty Cobb Regional Medical Center, LLC
- Piedmont Athens Regional Medical Center
- St Mary'S Hospital
- Comer Health and Rehabilitation
- Hartwell Health and Rehabilitation
- Hart Care Center
- Brown Health and Rehabilitation
- Northridge Health and Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hart Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 17, 2021 Feb 17, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101111000041 | GA | Practitioner - Internal Medicine | 2567657950 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Primary Care of Georgia LLC | Current |
Accepting new patients | |
| Reddy Urgent Care LLC | Internal Medicine | Current |
Accepting new patients |
| Reddy Urgent Care - Royston LLC | Internal Medicine | Current |
Accepting new patients |
| Med Strip LLC | Internal Medicine | Current |
Accepting new patients |
| Reddy Medical Group LLC | Internal Medicine | Current |
Accepting new patients |
| Reddy Urgent Care LLC | Internal Medicine | Current |
Accepting new patients |
| Hart County Health & Rehabilitation, LLC | Past | Accepting new patients | |
| Restoration Healthcare of Commerce LLC | Past | Accepting new patients | |
| Hart Care Center Inc | Past | Accepting new patients | |
| Franklin County Health & Rehabilitation, LLC | Past | Accepting new patients | |
| Madison County Health & Rehabilitation, LLC | Past | Accepting new patients |
Locations
1061 Dowdy Rd
Ste 204
Athens, GA 30606
Phone (706) 549-3111
1061 Dowdy Rd
Ste 101
Athens, GA 30606
Phone (706) 621-7555
855 W Broad St
Ste A
Athens, GA 30601
Phone (706) 850-6134
1061 Dowdy Rd
Ste 100
Athens, GA 30606
Phone (706) 521-7575
2430 Paoli St
Comer, GA 30629
Phone (706) 783-5116
132 Franklin Springs St
Royston, GA 30662
Phone (706) 245-7371
132 Franklin Springs St
Ste A
Royston, GA 30662
Phone (706) 245-7371
132 Franklin Springs St
Ste B
Royston, GA 30662
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAJDAD/Endpoint/JAJDAD
- https://fhir4.healow.com/fhir/r4/JAJDAD
- https://api.platform.athenahealth.com/22260/brand/1/csg/1/fhir/r4
- ashok.kancharla.1@22260.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 048250 | GA | Yes |
Addresses
Primary practice location
132 Franklin Springs St
Royston, GA 30662-4134
Mailing address
1061 Dowdy Rd Ste 204
Athens, GA 30606-5700
Phone (067) 621-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00910291A | Medicaid | GA | |
| 1427184654 | Other | GA | REDDY MEDICAL GROUP, LLC |
Other providers in Royston, GA
- Courtney Nicole Johnson
- Jillian Glaude Johnson
- Madison Johnson
- Angela Denise Jones
- Audrey Justice
- Susan Kellum
- Victoria Lecroy
- Diane Veronica Lewis
- Gina Marie Looney
- Sahar Mahzoon
All providers in Royston, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.