NPIMap

Individual provider Active NPI

Sahithi S Sangapu, MD

  • Family Medicine Physician
  • Oakwood, GA
National Provider Identifier
1073833083
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64260 Issued in GA
Practice address
3931 Mundy Mill Rd
Suite a
Oakwood, GA 30566-3431
Phone
(770) 848-9100
Fax
(770) 848-9101
NPI assigned
Jun 2, 2010
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64260 GA Primary

Addresses

Primary practice location

3931 Mundy Mill Rd
Suite a
Oakwood, GA 30566-3431

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssangapu29506@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110202000447 GA Practitioner - Family PracticePractitioner - General Practice 1254511694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3931 Mundy Mill Rd
Suite C
Oakwood, GA 30566-3431
Phone (770) 219-8275

3931 Mundy Mill Rd a
Oakwood, GA 30566-3431
Phone (770) 503-1481

4754 Martin Rd
Flowery Branch, GA 30542-3507
Phone (770) 965-0847

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501-3715

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Professional Services, LLC Family Medicine CurrentSince Jul 15, 2014 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Perimeter North Family Practice LLC Family Medicine PastSince Aug 5, 2012 Accepting new patients
Endocrine Specialists of Georgia, LLC PastSince Nov 8, 2020 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

3931 Mundy Mill Rd
Ste A
Oakwood, GA 30566
Phone (770) 219-8275

Interoperability endpoints

  • Direct secure messaging: ssangapu29506@nghs.gadirect.net

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.

Hospital & facility affiliations 8

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1073833083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 MUNDY MILL RD",
            "address_2": "SUITE A",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305663431",
            "telephone_number": "770-848-9100",
            "fax_number": "770-848-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGAPU",
        "first_name": "SAHITHI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssangapu29506@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3931 Mundy Mill Rd",
            "address_2": "Suite A",
            "city": "Oakwood",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305663431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakwood, GA

Sources for this page

Verify at the official NPI Registry.