Nithin Devireddy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

89193 Issued in GA

Practice address

10 Main Street Market PL SE
Cartersville, GA 30121-3309

Phone

(702) 742-3454

Fax

(770) 334-2551

NPI assigned

May 16, 2017

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Virtual Health Care IncGroup PAC ID 2769883842, 11 clinicians

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJJEDD/Endpoint/EJJEDD

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.

• Omni Virtual Health Care Inc

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1093381709
  Medicare reassignment Care Compare group NPD
• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment Care Compare group NPD
• Sanative Health Partners LLC

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1477447225

  Family Medicine

  Medicare reassignment NPD
• Georgia Woundcare MD LLC

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1063231645
  NPD (past)
• Wellstreet of Georgia PC

  dba Piedmont Urgentcare of Wellstreet

  • Non-Pharmacy Dispensing Site
  • Atlanta, GA
  • NPI 1295249084
  NPD (past)

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

• Ehca Johns Creek, LLC

  dba Emory Johns Creek Hospital

  • General Acute Care Hospital
  • Johns Creek, GA
  • NPI 1679632137
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Cherokee

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Piedmont Hospital, Inc

  dba Piedmont Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681
  Care Compare affiliation

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1083141477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 LINCOLN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887812",
            "telephone_number": "512-796-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN STREET MARKET PL SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213309",
            "telephone_number": "702-742-3454",
            "fax_number": "770-334-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIREDDY",
        "first_name": "NITHIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistry for Children of Cartersville LLC
• Ashley N Derby, NP
• Anuj Sunil Desai, M.D.
• Hilina Desta
• Manda Moore Deville, PHARM.D. R.PH
• Karima Dhanani
• Diabetes and Endocrine Specialists LLC
• Douglas C Diruggiero Jr., PAC
• Michael-Vu DO, OD
• Andrea E Dobosz, OTR/L

• Family Medicine Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.